Página 1 dos resultados de 5378 itens digitais encontrados em 0.022 segundos

Developing clinical trials in the portuguese family medicine : challenges and opportunities in the European context

Pereira, Manuel Pedro dos Santos Rodrigues
Fonte: Universidade Nova de Lisboa Publicador: Universidade Nova de Lisboa
Tipo: Dissertação de Mestrado
Publicado em //2014 POR
Relevância na Pesquisa
66.09%
RESUMO: Introdução: A hipótese colocada nesta tese é a de que poderia haver um número bastante mais elevado de ensaios clínicos na medicina familiar portuguesa se os obstáculos fossem removidos e as oportunidades exploradas de modo adequado. Contexto: Em Portugal existe uma nova geração de Médicos de Família que está a assumir postos de trabalho um pouco por todo o país e que é aceite como sendo a mais bem preparada geração de sempre. Métodos: Busca na MEDLINE. Leitura de artigos na única publicação científica dedicada à Medicina Geral e Familiar – RPMGF. Consulta em livros portugueses de política da saúde e acerca do Plano Nacional de Saúde. O INFARMED foi contactado e relatórios seus sobre ensaios clínicos foram analisados. Os Médicos de Família portugueses foram contactados e convidados a responder a questionários. Além disso, quinze personalidades da Medicina Portuguesa foram chamadas a sugerir soluções. Resultados: De acordo com dados do INFARMED, de 2006 a 2011 houve apenas quatro centros de saúde envolvidos em ensaios clínicos. Em Portugal: Existe um número pouco significativo de ensaios académicos; Praticamente não há infraestruturas de suporte ou treino; Os registos clínicos eletrónicos são usados de forma ineficiente; a investigação é fracamente ligada às carreiras médicas; há isolamento interno e externo; a já complexa regulamentação da União Europeia é complicada ainda mais; há um subfinanciamento da Investigação Clínica. Os Médicos de Família portugueses estão disponíveis para participar ativamente numa mudança. Discussão: Com os presentes resultados o diagnóstico para a presente situação é claramente negativo. Felizmente existem muito boas oportunidades para melhorar. Conclusão/Recomendações: Tempo...

Why Research in Family Medicine? A Superfluous Question

De Maeseneer, Jan M.; De Sutter, An
Fonte: Copyright 2004 Annals of Family Medicine, Inc. Publicador: Copyright 2004 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /05/2004 EN
Relevância na Pesquisa
66.06%
The ultimate answer to the question, “Why research in family medicine?” is to provide better care for our patients. Through research we want to improve quality of primary care by improving our understanding and practice of it. This research will inevitably be specific for family medicine as family medicine is a specific discipline. In this article we first explore what makes family medicine a specific discipline. In a second part we present a framework to grasp the various research questions that must be answered to achieve the complex and multifaceted goal of improving quality of care.

Improving Health Care Globally: A Critical Review of the Necessity of Family Medicine Research and Recommendations to Build Research Capacity

van Weel, Chris; Rosser, Walter W.
Fonte: Copyright 2004 Annals of Family Medicine, Inc. Publicador: Copyright 2004 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /05/2004 EN
Relevância na Pesquisa
66%
An invitational conference led by the World Organization of Family Doctors (Wonca) involving selected delegates from 34 countries was held in Kingston, Ontario, Canada, March 8 to12, 2003. The conference theme was “Improving Health Globally: The Necessity of Family Medicine Research.” Guiding conference discussions was the value that to improve health care worldwide, strong, evidence-based primary care is indispensable. Eight papers reviewed before the meeting formed the basic material from which the conference developed 9 recommendations. Wonca, as an international body of family medicine, was regarded as particularly suited to pursue these conference recommendations:

The 21st Century: The Age of Family Medicine Research?

Lam, Cindy L. K.
Fonte: Copyright 2004 Annals of Family Medicine, Inc. Publicador: Copyright 2004 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /05/2004 EN
Relevância na Pesquisa
66.06%
Family medicine has matured as an academic and scientific discipline with its own core concepts, knowledge, skills, and research domains. It has acquired much expertise in studying common illnesses; the integration of medical, psychological, social, and behavioral sciences; patient-centered care; and health services delivery. Many health care challenges in the 21st century will place a great demand on primary care, which can serve its purpose only if it is of high quality and evidence based. Family medicine research can contribute to many areas of primary care, ranging from the early diagnosis to equitable health care. Stakeholders, such as the World Health Organization, governments, and funding agencies, are becoming more supportive to family medicine research because they recognize its key importance in improving the quality of primary care and bridging the gap between biomedical research and clinical practice. Family medicine can play a leading role in shifting the paradigm of medical research from the laboratory to the person.

Family Medicine Research: Implications for Wonca

Bentzen, Niels
Fonte: Copyright 2004 Annals of Family Medicine, Inc. Publicador: Copyright 2004 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /05/2004 EN
Relevância na Pesquisa
66%
The purpose of the article is to illustrate where in the lifelong curriculum of family medicine ought students, trainees, and family physicians learn about research in family medicine. The role of Wonca to promote this endeavor is discussed.

Future of Research in Family Medicine: Where To From Here?

Herbert, Carol P.
Fonte: Copyright 2004 Annals of Family Medicine, Inc. Publicador: Copyright 2004 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /05/2004 EN
Relevância na Pesquisa
66.04%
Desired research outcomes in family medicine vary according to the developmental stage of the discipline and the context of practice. Several milestones in the evolution of family practice research worldwide have been achieved. Now family medicine researchers face the challenge of discovering how evidence-based primary health care can be delivered in a sustainable way to individuals within communities. To advance family medicine research, we must ensure that trainees have a positive research attitude, develop academic clinician-researchers, lobby for primary care research funding, support practitioners who wish to do research in their own practices, sustain practice-based research networks, and study important questions.

Family Medicine Issues a Call for Papers—The New Model of Family Medicine

Nolte, Traci
Fonte: Copyright 2005 Annals of Family Medicine, Inc. Publicador: Copyright 2005 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /07/2005 EN
Relevância na Pesquisa
65.98%

Home Care: A Key to the Future of Family Medicine?

Landers, Steven H.
Fonte: Copyright 2006 Annals of Family Medicine, Inc. Publicador: Copyright 2006 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /07/2006 EN
Relevância na Pesquisa
65.98%
This essay is about my transition from family medicine residency into house call/home-based primary care practice. Though some aspects of making home visits have been difficult and uncomfortable, I have found a higher level of satisfaction and sense of purpose than I had as a resident in a traditional outpatient clinic. This enhanced satisfaction is, in part, due to my discovery that a lower-volume, time-intensive house call practice is a more appropriate way than the brief office visit to care for older patients who have multiple morbidities. In light of the aging population, advances in portable medical technology, and changes in Medicare reimbursement, home care could become a key to the future success and ongoing relevance of family medicine.

Shaping the Future of Academic Health Centers: The Potential Contributions of Departments of Family Medicine

Newton, Warren P.; DuBard, C. Annette
Fonte: Copyright 2006 Annals of Family Medicine, Inc. Publicador: Copyright 2006 Annals of Family Medicine, Inc.
Tipo: Artigo de Revista Científica
Publicado em /09/2006 EN
Relevância na Pesquisa
65.98%
Academic health centers (AHCs) must change dramatically to meet the changing needs of patients and society, but how to do this remains unclear. The purpose of this supplement is to describe ways in which departments of family medicine can play leadership roles in helping AHCs evolve. This overview provides background for case studies and commentaries about the contribution of departments of family medicine in 5 areas: (1) ambulatory and primary care, (2) indigent care, (3) education in community and international settings, (4) workforce policy and practice, and (5) translational research.

Family Medicine Specialty in Singapore

Thomas, Santosh Lional
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
66.04%
Family Medicine in Singapore has its roots in a generalist ethos and found its origin as a counter culture movement to the increasing sub-specialisation of medicine which resulted in a complex healthcare system where that patients are often cared for by multiple specialists potentially resulting in fragmentation of care. The aim of the discipline of Family Medicine was to train and develop more generalist physicians so as to promote holistic care. Family physicians are the largest pool of generalists who are trained to provide general medical care to patients in the context of the person, the family and the community that they live in.

Family Medicine in Undergraduate Medical Education in India

Sankarapandian, Venkatesan; Christopher, Prince R.H.
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.06%
The Medical Council of India has set appropriate and relevant objectives to train each medical student into a basic doctor for the country. Even though they envisage that these basic doctors would work as physicians of first contact, providing for the health needs of India at primary and secondary care level, the site of training and the context of clinical teaching do not seem to empower the students to become a basic doctor. ‘Vision 2015’, the document written by the board of governors of medical council of India suggests reforms in medical education such as early clinical exposure, integration of principles of family medicine, and clinical training in the secondary care level. Family medicine training with trained family medicine faculty might add this missing ingredient to our basic doctor training. This article discusses the role of family medicine in undergraduate medical training. We also propose the objectives of such training, the structure of the training process, and the road blocks with possible solutions to its implementation.

Attitudes and perceptions of medical students about family medicine in Spain: Protocol for a cross-sectional survey

Alonso-Coello, Pablo; Jiménez Villa, Josep; Monreal Hijar, Antonio; Mundet Tuduri, Xavier; Otero Puime, Ángel; Martín Zurro, Amando
Fonte: BMJ Publishing Group Publicador: BMJ Publishing Group
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
65.97%
Background: Despite the fact that family medicine (FM) has become established as a specialty in the past 25 years, this has not been reflected in the inclusion of the specialty in the majority of medical schools in Spain. Almost 40% of the students will work in primary care but, in spite of this, most universities do not have an assessed placement as such. There are only specific practice periods in health centres or some student-selected components with little weight in the overall curricula. Objectives: To evaluate the attitudes and perceptions of medical students about FM in the health system and their perception about the need for specific training in FM at the undergraduate level. To explore change over time of these attitudes and perceptions and to examine potential predictive factors for change. Finally, we will review what teaching activity in FM is offered across the Spanish schools of medicine. Methods: Descriptive cross-sectional survey. Each one of the different analyses will consist of two surveys: one for all the students in the first, third and fifth year of medical school in all the Spanish schools of medicine asking about their knowledge, perceptions and attitudes in relation to primary care and FM. There will be an additional survey for the coordinating faculty of the study in each university about the educational activities related to FM that are carried out in their centres. The repetition of the study every 2 years will allow for an analysis of the evolution of the cohort of students until they receive their degree and the potential predictive factors. Discussion: This study will provide useful information for strategic planning decisions...

Perceptions of Family Medicine Residents on the Role of Clinical Uncertainty in Learning to Become Competent Family Physicians

Rich, Jessica
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.06%
As the first point of patient care, Family physicians are known to experience greater levels of uncertainty in decision-making. Little is known about how Family Medicine residents perceive and experience uncertainty in their dual roles as learners and healthcare providers. While there is research to suggest that uncertainty can be productive for learning medical practice, no study has examined the role of uncertainty in resident learning. The purpose of this study was to explore how Family Medicine residents view, experience, and manage uncertainty while learning through practice. A qualitative design was used to explore residents’ emotions, thoughts, opinions, and attitudes regarding their lived experiences of uncertainty. Over a two-week period, nine Family Medicine residents from one academic institution participated in individual, semi-structured interviews. Following verbatim transcription and member checking of interview summaries, the data was thematically analyzed to identify patterns in participants’ views and experiences of uncertainty. Results showed that uncertainty was a common and potentially uncomfortable experience for participating residents. Over time, the residents recalled their uncertainty subsiding and changing in character as they gained confidence and comfort with uncertainty in their decision-making. Despite viewing uncertainty as integral to lifelong professional learning...

Percepções discentes sobre a Estratégia de Saúde da Família e a escolha pela especialidade de Medicina de Família e Comunidade; Students' perceptions of the Family Health Strategy and Choose the Specialty of Family Medicine and Community

Issa, Afonso Henrique Teixeira Magalhaes
Fonte: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Ensino na Saúde (FM); Faculdade de Medicina - FM (RG) Publicador: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Ensino na Saúde (FM); Faculdade de Medicina - FM (RG)
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
66.04%
Objective: To analyze the perceptions of undergraduates in medicine in relation to the work of the Family Health Strategy (FHS) and the influencing factors in choosing the specialty of Family Medicine and Community (FM). Materials and Methods: An exploratory and qualitative study of a cross-sectional nature involving undergraduates in the 11th period of the medical school of the University Center of Anápolis (UniEVANGÉLICA) which is located in the Central-West region of Brazil. The study involved the examination of data collected from the body of students involved in a course of study who have been selected after approval by the Ethics and Research Committee. In the research, two instruments for collecting data and information were used: Firstly a questionnaire and secondly a roadmap for semi-structured interviews. This approach was taken in order to Identify Socioeconomic Characterization along with the Identification of Occupational Aspirations and analysis of factors that influence their choice of FM by using the technique of content analysis. Results and Discussion: None of the interviewed graduates opted to specialize in FM. The low social status, low wages, lack of labor rights, the experience of little contact with medical specialists during the course...

Implementation of a Videoconferencing System between Multiple Family Medicine Departments

Lee, Kee Hyuck; Kim, Ju Young; Lee, Kiheon; Cho, Belong; Yang, Jeong Hee; Goh, Eurah; Bae, Woo Kyung
Fonte: The Korean Academy of Family Medicine Publicador: The Korean Academy of Family Medicine
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
66.11%
Attending conferences is important for doctors and residents in family medicine. Nevertheless, departments of family medicine at many hospitals find it difficult to hold regular conferences. Holding joint videoconferences between Family Medicine Departments of several hospitals through a videoconferencing system could solve this problem. Therefore, Family Medicine Departments of Seoul National University Hospital, Seoul National University Bundang Hospital, and Kangwon National University Hospital decided to hold regular joint videoconferences via a videoconferencing system. Eighty-one joint videoconferences were held from April 1 to October 29, 2010. PowerPoint slideshows were transferred to the other two locations in the same resolution as presenter's monitor. Image and voice of the speaker were transferred in real time and in acceptable quality. Joint videoconferences are feasible, satisfactory and useful for medical education, especially when individual family medicine departments are small and lack resources to hold face-to-face conferences. We expect that more family medicine departments will choose to participate in implementing similar joint videoconferencing systems in the future.

Historical Evolution and Present Status of Family Medicine in Sri Lanka

Ramanayake, R. P. J. C.
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
66.15%
Sri Lankan health system consists of Allopathic, Ayurvedic, Unani, and several other systems of medicine and allopathic medicine is catering to the majority of the health needs of the people. As in many other countries, Sri Lankan health system consists of both the state and the private sector General practitioners, MOs in OPDs of hospitals and MOs of central dispensaries, provide primary medical care in Sri Lanka. Most of the general practices are solo practices. One does not need postgraduate qualification or training in general practice to start a general practice. There is no registered population for any particular health care institution in the state sector or in the private sector and there is no strict referral procedure from primary care to secondary or tertiary care. Family doctors have been practicing in Sri Lanka for well over 150 years. The first national organization of general practitioners was Independent Medical Practitioner (IMPA)'s organization which was founded in 1929 and the College of General Practitioners of Sri Lanka was founded in 1974. College conducts its own Membership Course and Examination (MCGP) since 1999. Family Medicine was introduced to undergraduate curriculum in Sri Lanka in early 1980s and now almost all the medical faculties in the country have included Family Medicine in their curricula. In 1979...

Satisfaction of patients suffering from type 2 diabetes and/or hypertension with care offered in family medicine clinics in Mexico

Doubova,Svetlana Vladislavovna; Pérez-Cuevas,Ricardo; Zepeda-Arias,Maribel; Flores-Hernández,Sergio
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2009 EN
Relevância na Pesquisa
65.96%
OBJECTIVE:To evaluate the satisfaction and the factors related to dissatisfaction in patients suffering from type 2 diabetes and/or hypertension with care offered in family medicine clinics. MATERIAL AND METHOD: A secondary data analysis was conducted. Main outcome measures were two indices of satisfaction: family doctor-patient relationship (FDPR) and clinic organizational arrangements (OA). RESULTS: Approximately half of patients (n=1 323) were satisfied with care. In the FDPR index the items "kindness of the family doctor" (FD) scored high, while the lowest score was for the items: "the FD allows the patient to give an opinion about his/her treatment," "the patient understands the information" and "the FD spends enough time on the consultation." As for satisfaction with OA, the items "cleanliness of the clinic" and "ease of administrative procedures" obtained the lowest scores. In the logistic regression analysis the covariate "negative self-rated health" and "type of institution" were associated with dissatisfaction. CONCLUSIONS:There are aspects of the FDPR and OA that reveal dissatisfaction of patients with chronic conditions.

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

Ogundipe,Radiance M.; Mash,Robert
Fonte: African Journal of Primary Health Care & Family Medicine Publicador: African Journal of Primary Health Care & Family Medicine
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
66.09%
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.

Scaling up Family Medicine in Uganda

Besigye,Innocent K.; Namatovu,Jane F.
Fonte: African Journal of Primary Health Care & Family Medicine Publicador: African Journal of Primary Health Care & Family Medicine
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
66.04%
It is evident that politicians, health managers and academics are realising the potential contribution of Family Medicine to health systems in sub-Saharan Africa. The challenge is in training institutions to recruit and train enough Family Physicians in order to meet expectations. The 3rd Family Medicine Conference in Uganda, held in October 2013, explored innovative ways of scaling up Family Medicine training and practice in Uganda.

Solidarity in family medicine in Brazil and in Italy: reflecting on ethical issues and contemporary challenges

Lima,Rita de Cássia Gabrielli Souza; Verdi,Marta Inez Machado
Fonte: Interface - Comunicação, Saúde, Educação Publicador: Interface - Comunicação, Saúde, Educação
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2010 EN
Relevância na Pesquisa
66.04%
This study reflects on solidarity in the practice of family medicine in two realities. The objective is to search for solidarity as an ethical principle in the relationship between family doctor and subject. It is a descriptive exploratory research carried out in Florianópolis, state of Santa Catarina, Brazil, and in the Province of Rome, Lazio Region, Italy. It included fourteen Brazilian family doctors and fifteen Italian family doctors. The theoretical framework consisted of Pierre Bourdieu's theory of Symbolic Power. The results show the importance of the role of the family doctor in the materialization of this ethical principle, as a spokesman for scientific knowledge and as an agent of a State policy. Solidarity was understood within distinct domains and the discursive productions also demonstrated the negation of solidarity in such practice. Globalization proved to be a contemporary challenge for an ethical practice of family medicine that is marked by solidarity.