scholarly journals The Need to Reform the Health Care System in the Implementation of the Family Physician Curriculum in Iran

2016 ◽  
Vol 4 (2) ◽  
pp. 109-110 ◽  
Author(s):  
Soleiman Ahmadi ◽  
Reza Ghaffari ◽  
Saeideh Ghaffarifar
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Family Physician ◽  
The Family ◽  
Care System

scholarly journals Legal regulation of the institute of family medicine

2020 ◽  
pp. 45-50
Author(s):  
V.V. Mirgorod-Karpova ◽  
B.O. Pavlenko ◽  
V.V. Smal
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Family Medicine ◽  
Health Care System ◽  
Family Doctor ◽  
Legal Regulation ◽  
Medical Services ◽  
The Family ◽  
Care System

The article is devoted to the issue of legal regulation of medical services in Ukraine. The main focus is on family medicine and regulation of the relationship between the family doctor and the patient with whom the declaration was signed, as well as the topic of reforming the health care system of Ukraine, which began in 2015. After all, it was the reform of the health care system that opened such a state institution for Ukraine as family medicine. The relevance of this research topic is that the quality of medical services is one of the main indicators of the effective functioning of the health care system. It is the factor of proper provision of medical services that contributes to: population size, mortality, life expectancy and, in general, public health and population demographics. These important factors determine the development of the state and its socioeconomic situation. If we do not take into account the modern fundamental factor of quality, the medical system will not be able to function properly, and as a result will have problems and shortcomings that will prevent the country from moving forward, both in medicine and in other areas. After the implementation of the first stage of reform, the Ukrainian health care system has undergone significant changes. The main of which was family medicine and all its principles and innovations. The topic of family medicine in Ukraine is quite important, because the family doctor is almost the first to whom the patient turns, so attention should be focused on primary care in order for this institute of medicine to function well and efficiently. Today, Ukraine faces a problem such as the COVID-19 pandemic, which has led to certain gaps in health care, such as inefficient and poor quality of primary care services, lack of responsibility for quality on the part of both doctors and patients, and society. dissatisfied with the reform of the health care system in Ukraine, and the lack of legal force in declarations between family doctors and patients is also a problem today. These problems were not so obvious and noticeable before the COVID-19 epidemic, but it is this situation with the coronavirus that highlights all the above gaps.

scholarly journals Parents Need More Support: A Qualitative Study of the Experiences of Australian Parents Who Are Waiting for Surgical Intervention for Their Children With Otitis Media

2019 ◽  
Vol 7 (5) ◽  
pp. 717-725
Author(s):  
Jacqueline H Stephens ◽  
Maree O’Keefe ◽  
Mark Schembri ◽  
Peter A Baghurst
Keyword(s):  
Health Care ◽  
Otitis Media ◽  
Health Care System ◽  
Treatment Options ◽  
Well Being ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
The Family ◽  
The Impact ◽  
Care System

Objective: To explore the experiences, expectations, and motivations of parents/caregivers of children with otitis media who were booked to undergo tympanostomy tube insertion. Method: A cross-sectional cohort study was conducted using semistructured interviews with 39 parents. Interviews were conducted via telephone and analyzed for key themes. Results: Three themes emerged that incorporated a range of subthemes: (1) the impact of the child’s underlying condition on the family, (2) the cues and prompts that influenced parents to seek intervention, and (3) the parents’ expectations of the health-care system. The child’s otitis media disrupted the day-to-day functioning of the family and the child’s well-being, but despite this, the families found ways to adapt and cope. Parents were influenced by their friends, family, and medical practitioners when making treatment decisions and had differing expectations of the health-care system. Conclusion: Parents need support during their child’s illness to help with pressures placed on the family and also in making health-care decisions for their child. Clinicians should consider these issues when discussing treatment options with parents.

scholarly journals Competitive Advantages of Professional Dynasty in the Reproduction of the Medical Profession (Based on Materials from Autobiographical Interviews)

2020 ◽  
pp. 47-52
Author(s):  
Oksana Avedikovna Nor-Arevyan
Keyword(s):  
Health Care ◽  
Competitive Advantage ◽  
Health Care System ◽  
Career Advancement ◽  
Medical Profession ◽  
Competitive Advantages ◽  
Access To Education ◽  
The Family ◽  
Care System

The research is focused on the analysis of the role of professional dynasty in the reproduction of the medical profession. The materials of autobiograph-ical interviews show how the medical dynasty influ-ences the choice of a profession and education, employment, and career advancement. The article considers the competitive advantages of representa-tives of medical dynasties in the educational (access to education, ease of learning from the perspective of starting opportunities for gaining knowledge and experience, access to internships) and social and labor spheres (employment under patronage, recog-nition of the dynasty and recognition by patients). It has been established that the family dynasty has all the necessary resources (educational, cultural, so-cial, etc.) and has a competitive advantage over oth-er strategies for the reproduction of the medical profession in general. Therefore, the popularization of family professional dynasties can play an im-portant role in solving the personnel issue of the health care system.

scholarly journals Expectations and needs of socially vulnerable patients for navigational support of primary health care services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carine Sandrine Ngo Bikoko Piemeu ◽  
Christine Loignon ◽  
Émilie Dionne ◽  
Andrée-Anne Paré-Plante ◽  
Jeannie Haggerty ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Qualitative Study ◽  
Health Care System ◽  
Family Physician ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Care System

Abstract Background Primary healthcare is the main entry to the health care system for most of the population. In 2008, it was estimated that about 26% of the population in Quebec (Canada) did not have a regular family physician. In early 2017, about 10 years after the introduction of a centralized waiting list for patients without a family physician, Québec had 25% of its population without a family physician and nearly 33% of these or 540,000, many of whom were socially vulnerable (SV), remained registered on the list. SV patients often have more health problems. They also face access inequities or may lack the skills needed to navigate a constantly evolving and complex healthcare system. Navigation interventions show promise for improving access to primary health care for SV patients. This study aimed to describe and understand the expectations and needs of SV patients. Methods A descriptive qualitative study rooted in a participatory study on navigation interventions implemented in Montérégie (Quebec) addressed to SV patients. Semi-structured individual face-to-face and telephone interviews were conducted with patients recruited in three primary health care clinics, some of whom received the navigation intervention. A thematic analysis was performed using NVivo 11 software. Results Sixteen patients living in socially deprived contexts agreed to participate in this qualitative study. Three main expectations and needs of patients for navigation interventions were identified: communication expectations (support to understand providers and to be understood by them, discuss about medical visit, and bridge the communication cap between patients and PHC providers); relational expectations regarding emotional or psychosocial support; and pragmatic expectations (information on available resources, information about the clinic, and physical support to navigate the health care system). Conclusions Our study contributes to the literature by identifying expectations and needs specified to SV patients accessing primary health care services, that relate to navigation interventions. This information can be used by decision makers for navigation interventions design and inform health care organizational policies.

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