جستجوی مقالات مرتبط با کلیدواژه « family physicians » در نشریات گروه « پزشکی »

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.

Family physician is introduced as a cost-effective approach to promote health equity. The health systems of different countries have gradually implemented this program in different ways according to the needs of society, policies, resources and internal infrastructure, more than half a century after the beginning of the family physician program. The purpose of this article is to review the experience of family physician program in Iran and selected countries and to introduce appropriate strategies.

This study is a descriptive comparative study. Information was extracted using the keywords of family physician, family medicine, health system, Iran, USA, UK, Canada, Turkey, Malaysia, China and in the websites of scientific articles. In addition, data from the World Health Organization and countries' health systems were used.

The history and developments of the family physician program, the duration of training in the United States, the United Kingdom, Canada, Turkey, Malaysia, China and Iran were described.

Although there are similarities in the principles of family physician in most countries, but it is different in policies, strategies and methods of implementation and financing. Developments were made to upgrade the referral system and strengthen the position of family physician, with the aim of adapting the program to the needs of the people and solving problems and challenges

The family physician is a corrective program to reach vulnerable groups, the political process is the awareness and identify of the objectives of the policy making process is essential for service providers. The purpose of this study was to assess the status of implementation of the policy of family physician in Yazd province was from the opinion of service providers.

This is a descriptive cross-sectional and applied study. The population included of all family physicians and midwives in health centers in Yazd (N=105), they were selected by census. Data were gathered by the questionnaire that was used to confirm the validity and reliability was used. To analyze the data descriptive statistics of mean, standard deviation, frequency and percentage and at the inferential statistic's level, one sample t test, independent t test was used.

Results showed that the family physician service providers the policymaking dimensions, the situation of effectiveness, monitoring, appropriateness and influence of higher than average and the assessment of the adequacy and efficiency were medium.

The results showed that the effectiveness of monitoring, appropriateness and effectiveness were higher than average, and dimensions of adequacy and efficiency were medium. there were significant difference in the effectiveness between the opinion of Physicians and midwives, and werent significant differences on other dimensions.