جستجوی مقالات مرتبط با کلیدواژه "پزشکان خانواده" در نشریات گروه "پزشکی"

The process by which family physicians refer patients to specialized levels of the healthcare system is presented. In other words, the referral system can assure us that the clients of health care services are optimally allocated at the specialized level of services. In addition to providing proper time and providing proper health care for health benefits. The referral process is a specialized outpatient consulting process that determines the course and communication of the individual in three levels of the health system to provide the integrity and continuity of services this study aimed to determine the quality of referral and feedback forms in the medical family physician of Mazandaran province in 2019.

This descriptive cross-sectional study was conducted to examine the form of insurance referral of social security insurance by physicians of urban families and feedback from experts. After receiving the code of ethics and obtaining permission from the relevant organization the researcher paid the social security organization 1397 issued by the physicians in the province. The statistical population consisted of all forms of reference and the feedback from experts to the social security insurance organization to get the right According the report of the department of medical record department of the social security insurance organization of Mazandaran province in1397 has been handed over to that organization in a total of 151075 reference sheets completed to obtain the right of the specialists. the collected data were entered into Excel software for statistical analysis was performed in descriptive statistics using central dices (mean, median, mode) and dispersion index(variance, standard deviation, range of changes, coefficients of variation ) for quantitative variables, and index, percentage, and prevalence for qualitative data. The data were analyzed by using spss-25 software.

The study of 3200 cases of referral and referral forms of family physicians and specialists showed that among the Physicians 2321(72.5) were male and 879(27.5) were female. The patient's records in 586(%18.3) were incomplete. Clinical findings Were found in 98(2.7%) cases and paraclinical findings were incomplete in 22 cases (0.7%) and complete in 171 cases (5.3%). in 884 cases (27.6%) the papers were illegible the cause of referral was written in 560(17.5%). the reason for further referral in 187 cases (5.8%) was written by experts. In addition, 1454 cases (45.4%) of the return sheets completed by specialists were illegible.

The results obtained in this study show that the status of the quality of completion of the referral form by the family doctors and also the status of providing feedback by the specialist doctors are not suitable. to improve this situation the implementation of face-to-face and non-face-to-face training programs for both groups and using electronic referral forms can be put on the agenda.

Hypothyroidism is a common, important endocrine disorder. In this study, we aimed to evaluate family physicians' knowledge about hypothyroidism. 

 Thi s an alytical cross-sectional study assessed the knowledge knowledge of hypothyroidismin 180 family physicians working in two Shiraz urban health centers in 2021. A researcher-made questionnaire containing four areas, including screening, diagnosis, treatment, and referral, was used. The total score of the questionnaire was 22. Initially, the validity and reliability of the questionnaire were confirmed in a pilot study. 

150 out of 180 participants completed the questionnaire. The average score was 15.7±2 of the total 22 scores. The mean scores on screening, diagnosis, treatment, and referral subscales were 0.8±3.2, 0.8±2.3, 1.4±6.6, and 0.6±3.5, respe ctively. Less than 50% of the doctors answered five out of 22 questions correctly. The doctor's age had a significant negative relationship with the questionnaire score. 

Although family physicians' knowledge was acceptable in screening, diagnosis, and referral areas, their knowledge of treatment was not sufficient. Using evidence-based national clinical guidelines and updating them at specific intervals, focusing on the performance of family physicians, can be an effective way to improve the knowledge and performance of these doctors. Planning for targeted retraining is suggested as another way to improve performance.

Family Physicians need to have necessary abilities and skills to fulfill health-related responsibilities. The purpose of this article is to introduce those skills and analyze the general medicine curriculum in terms of those skills.

This study was conducted using mixed methods. Initially, national and international articles and in some cases the websites of universities or organizations related to health and family physician education were searched in a targeted manner. A list of skills was extracted by categorizing and analyzing the collected materials. In the next step, the list of skills was reviewed and revised in eight group discussion sessions. Finally, the current general medicine curriculum was examined and analyzed from the family doctor’s perspective.

The expected knowledge and skills of general practitioners as family medicine team managers were categorized and presented in six major areas and 63 sub-areas. The major areas include public health, essential clinical skills, procedures, medical information technology, Islamic spirituality, ethics and law, and soft skills. A total of 26 practical studies and 25 Lectures were offered.

The current general medicine curriculum was analyzed in six major areas and and important neglected areas were revealed. It is necessary to pay attention to these areas and plan to remove educational barriers and provide the necessary infrastructure.

The family physician program is designed to promote health equity and provide comprehensive and continuous health services for all ages. However, the implementation faced many challenges and problems in different parts. This study investigates the status of family physician program and analyzes its aspects in the Eastern Mediterranean countries, especially in Iran.

This study is systematic review. English and Persian databases such as Google scholar, Pubmed, EBSCo, SID, Magiran, were searched with related keywords in the timeframe of 2016 to 2022. Content analysis of 63 articles was performed and results were categorized in five areas of governance and regulation, training program, financing, quality assurance of services, and community empowerment.

Analyzing previous studies revealed 23 sub-domains in five main 5 areas: Management factors, electronic files, recruitment and retention of human resources, referral system, assessment and evaluation, educational system, content  of education, educational  method, training place, retraining, communication skills, financing, payment to doctors, insurance system, access to services , evaluation for service quality, proper communication with clients, satisfaction of service providers, satisfaction of service recipients, culture building, public education and awareness, modification of social attitude and community participation.

There are challenges and problems in each of the major areas and sub-domains, which can be adjusted and modified with evidence-based policy making and planning. This way, it could be expected that the family medicine program be expanded and institutionalized in the society.

Improving the family medicine program requires a deep understanding of the matter. This study has been conducted to integrate global experiences in the field of referral system and family medicine in selected countries.

In this comparative study, leading countries in the field of referral systems and family physicians such as the United Kingdom, France and Italy, as well as countries with a similar situation to Iran such as Turkey, which have begun similar reforms in their health system at the same time as Iran were selected to be reviewed.

Presented in four parts, the results of this study consist of the referral condition in the selected countries, financing and methods of the payment, advantages of the referral and family physician systems, and also strengths, weaknesses, opportunities and challenges of implementation system and family physician in the five selected countries.

A high percentage of public health needs can be covered in the form of primary health services and by first-line health care providers. The way to achieve this goal in many countries has been to restrict free access to specialized services in the form of a family physician and referral system . Informing and sensitizing family physicians about the financial consequences of their decisions and involving them in cashier affairs, as well as empowering them at the first level of the referral system to provide primary care and dealing with mistakes of their own and their peers at the first level of primary care comprise the most effective and efficient ways in effective implementation of this program.

Background and H1N1 influenza circulate worldwide and affects the world population in case of pandemic. The aim of this study was to evaluate the awareness of urban family physicians in Mazandaran province, Iran about H1N1 influenza.
In a descriptive study, 373 urban family physicians were questioned. A standard questionnaire including different items were completed by participants. The items included epidemiology (7 questions), treatment (5 questions), virology and diagnosis (5 questions), clinical manifestations (6 questions), and prevention (4 questions) of H1N1 influenza. Data was then coded and analyzed in SPSS V18 applying Chi-square, t-test, and Fisher's exact test.
The participants were 47.5% females and 52.5% males. The levels of knowledge about H1N1 influenza were poor in 0.8%, fair in 11.3% and good in 60.3%. Also, 27.6% of the participants had excellent levels of knowledge on this type of influenza. The average scores of participants for epidemiology, virology and diagnostics, clinical manifestations, prevention, and treatment were 4.30, 3.38, 4.59, 2.79, and 3.67, respectively. The mean scores for knowledge in epidemiology and treatment were found to be higher in female physicians compared to those of their male counterparts. Our results indicated a direct correlation between experience and knowledge on virology, diagnosis, clinical symptoms, and prevention and treatment, while it was inversely related with knowledge on epidemiology of H1N1 influenza.
This study showed a relatively high level of knowledge among urban family physicians in Mazandaran province about H1N1 influenza. But they are strongly recommended to participate in continues education programs that increase their awareness and enhance their knowledge.

Access to family physicians plays an important role in individual's health and health indicators. This study aimed to determine the effect of family physicians lodge on performance indicators of rural family physicians working in health centers of Jiroft and Kerman Universities of Medical Sciences. In this cross - sectional study conducted in 2013, 26 lodge physicians (as the case group) and 26 non lodge physicians (as the control group) were selected by systematic sampling from health centers of Jiroft and Kerman Universities of Medical Sciences. Demographic information of physicians and data related to health centers and indicators were collected. Average times visiting a physician, village visit and forming health files indicators were calculated. Data were analyzed using ANOVA, t-test, chi-square and Pearson coefficient of correlations and through SPSS 16 software package. There was no significant difference between the two groups in regard to demographic variables. According to t-test, there was statistically significant differences between the two groups in percentage of forming health files (P=0.05) and percentage of village visits (P=0.001); and the mean of these indicators in lodge physicians was more than that in the non- lodge physicians and there was no significant difference between the two groups in average times visiting a physician (P=0.35). Some strategies such as increasing the number of lodge health centers, providing transportation facilities, suitable physical spaces and equipment seem necessary in order to improve indicators.

Since that one of the basic points in the competences of physicians, is the communication skill to carry out their professional duties properly, several studies suggest that manyphysicians can not communicate to their patients, effectively.How to communicate and interact with patients plays an effective role in the patient satisfaction, treatment results, medical costs, the quality of clinical services, and even in the complaints from the doctors. This study was performed with the aim of determining the satisfaction rate about the communication skills of family physicians in rural health centers at Mazandaran University of Medical Sciences in the viewpoints of the individuals referring them in the year 2012. This descriptive- cross sectional study, was performed on 315 patients referring to family physicians of rural health centers in Mazandaran province in the year2012. Data collecting was performed by using Farmahini questionnaire (2006). Questionnaire includes 24 questions in six areas: how to deal with the patient initially, how to take a medical interview, how to contact with the patient, in physical examination, how to educate, how to follow up the patient and the time duration for follow the patients problems by the doctor. Data analysis was performed by spss software with significant level of 0.95. The study results showed that 153 individuals (48.6%) of patients, were unsatisfied about the service providing of family physicians. 53 persons (16.9%) had moderate satisfaction and only 109 persons (37.8%) were completely satisfied. Older persons had more satisfaction rate in comparison to other age groups. In higher educational levels, the rate of satisfaction was decreased. According to findings, the most basic expectation of people from medical team is effective and humanistic communication, in this manner, diagnostic and therapeutic patterns will be effective and completed. For better attitude of the patients about doctors, notification to the emotional and mental aspects of the patients should be improved in the physicians.

Cardiovascular diseases (CVD) are the main cause of mortality in both men and women in Iran. The present study aimed to determine family physician's attitude and practice toward prevention and treatment of cardiovascular diseases. A descriptive analytical study of 67 family physicians working in urban and rural health centers of Ilam University of Medical Sciences was conducted. A validated questionnaire completed by GPs in three months interval was used for data collection. From physicians contributing to the project, 55 completed questionnaires (response rate 78%). They knew important risk factors for CVD but had different attitudes toward efficacy of treatment. Majority of physicians (75.8%) had regularly ordered cholesterol measurement as part of their initial assessment for patients. When patients have an initial satisfactory cholesterol level, (26)47.3% re-measured it annually, (2)3.6% after 2 years, and (27)49.1% every 5 years. Urban physicians compared to rural physicians, were more likely to believe the effectiveness of relationship with patients to influencing preventive practices (OR = 3.59, CI95%: 1.57 to 10.99, P= 0.008). Despite of common attitudes about risk factors of CVDs, family physicians had different views on effectiveness of those methods. Family physician's practice was different about the goals for treatment of hypertension, LDL and TG. Variations that were observed in family physician's attitudes and practice could influence intervention strategies.

Family Physicians (FPs) played a responsible role as the manager of health team for using of potentials promotion and conserve the health in their protege population. Family physicians Satisfaction can be effect on efficacy, quantity and quality of health services. To evaluate the level Satisfaction of family physicians (FPs) about effective factors on activation of FP program in medical universities in northern provinces of Iran. This cross-sectional descriptive- analytic study was performed on rural regions and towns with population under 20000 persons in the universities of Golestan, Mazandaran, Bobol and Guilan in 2008. At first 20% of health centers which applied family physician program were selected by randomized systematic selection, 160 FPs were interviewed by questionnaire in each center. Data was analyzed by Chi-square, Fishers Exact and kendalls Test in SPSS. Among 160 FPs, 92 persons (55.4%) were male, 132 persons (79.5%) were married. Mean age of them was 34.5±4.95 years, mean records of their services was 32±9.79 months. Mean of their protégé population was 4285±1338.persons. Level of FPs satisfaction was low about the function of district health center, specialists between the second level of referral system and the people with rural assurance,there was a significant difference between the mentioned universities (about these factors). But the Level of FPs satisfaction was high about the health team. According to the results the managers of district health center must promote the programs and increase the coordination between first and second levels for presentation of health services