Patients' Perceived Quality of Family Physicians' Primary Care with or without 'Family Medicine' in the Clinic Name

The presence of venous leg ulcers (VLU) is associated with emotional disorders in individuals who have conditions, such as depression, anxiety, and sleeping problems, which result in a reduced perceived quality of life by these individuals. The study aim was to describe the perceived quality of life and associated factors for individuals with VLU. We conducted a cross-sectional study in 22 primary care health centers with a sample of 93 individuals with VLU. The variables collected were the following: perceived quality of life measured with Spanish version of the Charing Cross Venous Ulcer Questionnaire (CCVUQ-e), ulcer severity measured with the RESVECH 2.0 Score, demographic variables, and those related to the healing process. The results showed a mean CCVUQ-e score of 47.4 ± 11.8 points (Mean ± SD), with the most affected dimension being the emotional status, followed by cosmesis, social interaction, and domestic activities. The mean RESVECH 2.0 score was 11.1 ± 3.7 points. An association was found between ulcer-related pain and poorer quality of life ( P < .05, t test) and between erythema in perilesional skin and poorer quality life ( P < .05, t test). The signs of infection and inflammation in the VLUs were as follows: increasing exudate, friable tissue, and biofilm-compatible tissue, which were associated with a poorer quality of life ( P < .05, t test). The multivariate model was statistically significant and explained a variability of 26% in the CCVUQ-e score. This study confirms that wound severity, pain, and signs of infection in VLU decrease the perceived quality of life of individuals with these wounds.

Download Full-text

Screening for depression in diabetes in an Indian primary care setting: Is depression related to perceived quality of life?

Primary Care Diabetes ◽

10.1016/j.pcd.2020.03.002 ◽

2020 ◽

Vol 14 (6) ◽

pp. 709-713

Author(s):

Suravi Patra ◽

Binod Kumar Patro ◽

Manaswini Mangaraj ◽

Soumya Swaroop Sahoo

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Care Setting ◽

Primary Care Setting ◽

Perceived Quality ◽

Perceived Quality Of Life

Download Full-text

Semistructured interviewing in primary care research: a balance of relationship and rigour

Family Medicine and Community Health ◽

10.1136/fmch-2018-000057 ◽

2019 ◽

Vol 7 (2) ◽

pp. e000057 ◽

Cited By ~ 36

Author(s):

Melissa DeJonckheere ◽

Lisa M Vaughn

Keyword(s):

Primary Care ◽

Family Medicine ◽

Data Collection ◽

Health Services ◽

Family Physicians ◽

Primary Care Providers ◽

Care Providers ◽

Primary Care Research ◽

Care Research ◽

Semistructured Interviews

Semistructured in-depth interviews are commonly used in qualitative research and are the most frequent qualitative data source in health services research. This method typically consists of a dialogue between researcher and participant, guided by a flexible interview protocol and supplemented by follow-up questions, probes and comments. The method allows the researcher to collect open-ended data, to explore participant thoughts, feelings and beliefs about a particular topic and to delve deeply into personal and sometimes sensitive issues. The purpose of this article was to identify and describe the essential skills to designing and conducting semistructured interviews in family medicine and primary care research settings. We reviewed the literature on semistructured interviewing to identify key skills and components for using this method in family medicine and primary care research settings. Overall, semistructured interviewing requires both a relational focus and practice in the skills of facilitation. Skills include: (1) determining the purpose and scope of the study; (2) identifying participants; (3) considering ethical issues; (4) planning logistical aspects; (5) developing the interview guide; (6) establishing trust and rapport; (7) conducting the interview; (8) memoing and reflection; (9) analysing the data; (10) demonstrating the trustworthiness of the research; and (11) presenting findings in a paper or report. Semistructured interviews provide an effective and feasible research method for family physicians to conduct in primary care research settings. Researchers using semistructured interviews for data collection should take on a relational focus and consider the skills of interviewing to ensure quality. Semistructured interviewing can be a powerful tool for family physicians, primary care providers and other health services researchers to use to understand the thoughts, beliefs and experiences of individuals. Despite the utility, semistructured interviews can be intimidating and challenging for researchers not familiar with qualitative approaches. In order to elucidate this method, we provide practical guidance for researchers, including novice researchers and those with few resources, to use semistructured interviewing as a data collection strategy. We provide recommendations for the essential steps to follow in order to best implement semistructured interviews in family medicine and primary care research settings.

Download Full-text

Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs

Family Practice ◽

10.1093/fampra/cmh613 ◽

2004 ◽

Vol 21 (6) ◽

pp. 654-660 ◽

Cited By ~ 100

Author(s):

G. Lee

Keyword(s):

Primary Care ◽

Quality Of Care ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Chronic Diseases ◽

Cultural Beliefs ◽

Perceived Quality ◽

Medicine Use ◽

Perceived Quality Of Care

Download Full-text

Geographical distribution of family physicians in Japan: A nationwide cross-sectional study

10.21203/rs.2.10782/v1 ◽

2019 ◽

Author(s):

Shuhei Yoshida ◽

Masatoshi Matsumoto ◽

Saori Kashima ◽

Soichi Soichi Koike ◽

Susumu Tazuma ◽

...

Keyword(s):

Primary Care ◽

Family Medicine ◽

Rural Areas ◽

Census Data ◽

Family Physicians ◽

Cross Sectional Study ◽

Government Support ◽

Free Access ◽

Cross Sectional ◽

Physician Distribution

Abstract Background Geographical maldistribution of physicians, and their subsequent shortage in rural areas, has been a serious problem in Japan and in other countries. Family Medicine, a new board-certified specialty started 10 years ago in Japan by Japan Primary Care Association (JPCA), may be a solution to this problem. Methods We obtained the workplace information of 527 (78.4%) of the 672 JPCA-certified family physicians from an online database. From the national census data, we also obtained the workplace information of board-certified general internists, surgeons, obstetricians/gynaecologists and paediatricians and of all physicians as the same-generation comparison group (ages 30 to 49). Chi-squared test and residual analysis were conducted to compare the distribution between family physicians and other specialists. Results 519 JPCA-certified family physicians and 137,587 same-generation physicians were analysed. The distribution of family physicians was skewed to municipalities with a lower population density, which shows a sharp contrast to the urban-biased distribution of other specialists. The proportion of family physicians in non-metropolitan municipalities was significantly higher than that expected based on the distribution of all same-generation physicians (p<0.001). Conclusions Family physicians distributed in favour of rural areas much more than any other specialists in Japan. The better balance of family physician distribution reported from countries with a strong primary care orientation seems to hold even in a country where primary care orientation is weak, physician distribution is not regulated, and patients have free access to healthcare. Family physicians comprise only 0.2% of all Japanese physicians. However, if their population grows, they can potentially rectify the imbalance of physician distribution. Government support is mandatory to promote family medicine in Japan.

Download Full-text

A háziorvosok teljesítményének minőségi értékelése. Mi a probléma a háziorvosi indikátorokkal?

Orvosi Hetilap ◽

10.1556/650.2016.30378 ◽

2016 ◽

Vol 157 (9) ◽

pp. 328-335 ◽

Cited By ~ 2

Author(s):

László Róbert Kolozsvári ◽

Imre Rurik

Keyword(s):

Primary Care ◽

Family Physicians ◽

Indicator System ◽

Care Quality ◽

Proper Solution ◽

Care Services ◽

Primary Care Services ◽

Primary Care Quality ◽

Quality Of Primary Care

The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary. Orv. Hetil., 2016, 157(9), 328–335.

Download Full-text

Development of Family Medicine training in Botswana: Views of key stakeholders in Ngamiland

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v7i1.865 ◽

2015 ◽

Vol 7 (1) ◽

Cited By ~ 5

Author(s):

Radiance M. Ogundipe ◽

Robert Mash

Keyword(s):

Primary Care ◽

Family Medicine ◽

Healthcare Delivery ◽

Family Physicians ◽

Training Programme ◽

Holistic Health ◽

District Health ◽

Key Stakeholders ◽

Quality Of Primary Care ◽

Personal Welfare

Background: Family Medicine training commenced in Botswana in 2011, and Maun was one of the two sites chosen as a training complex. If it is to be successful there has to be investment in the training programme by all stakeholders in healthcare delivery in the district.Aim: The aim of the study was to explore the attitudes of stakeholders to initiation of Family Medicine training and their perspectives on the future roles of family physicians in Ngami district, Botswana.Setting: Maun and the surrounding Ngami subdistrict of Botswana.Methods: Thirteen in-depth interviews were conducted with purposively selected key stakeholders in the district health services. Data were recorded, transcribed and analysed using the framework method.Results: Participants welcomed the development of Family Medicine training in Maun and expect that this will result in improved quality of primary care. Participants expect the registrars and family physicians to provide holistic health care that is of higher quality and expertise than currently experienced, relevant research into the health needs of the community, and reduced need for referrals. Inadequate personal welfare facilities, erratic ancillary support services and an inadequate complement of mentors and supervisors for the programme were some of the gaps and challenges highlighted by participants.Conclusion: Family Medicine training is welcomed by stakeholders in Ngamiland. With proper planning introduction of the family physician in the district is expected to result in improvement of primary care.

Download Full-text