Analysis of definitions of general practice, family medicine, and primary health care: a terminological analysis

Jamoulle, Marc; Resnick, Melissa; Stichele, Robert Vander; Ittoo, Ashwin; Cardillo, Elena; Vanmeerbeek, Marc

doi:10.3399/bjgpopen17x101049

Cited by 17 publications

(16 citation statements)

References 14 publications

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“…Wherever available, FPs in these hospitals render highly specialised, cost-effective, integrated, coordinated and comprehensive care (inpatient, outpatient and surgeries) to patients irrespective of their disease presentation. 1 , 4 The relevance of FPs in district hospitals can be depicted by the clinical experience of one of the authors ( Box 1 ).…”

Section: Family Physicians In District Hospitalsmentioning

confidence: 99%

“…Family physicians (FPs) in Nigeria provide patient-centred, comprehensive, coordinated, integrated, longitudinal and holistic care to patients irrespective of their age, gender or disease presentation, in the context of their family, culture and environment. 1 They provide primary care to patients in primary health care (PHC) settings, district hospitals and specialist or teaching hospitals using the principles of PHC (equity, appropriate technology and self-reliance, community participation, intersectoral collaboration and integrated services). 2 …”

Section: Introductionmentioning

confidence: 99%

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Contributions of family physicians to health care services in Nigeria

Oseni

Salam

Fatusin

2021

African Journal of Primary Health Care & Family Medicine

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In Nigeria, family physicians are doctors with specialised training to manage a broad range of clinical conditions and pathologies when they first present, considering the psychosocial, economic, cultural and environmental context of the individual and his or her family. In Nigeria, family physicians may be found at district hospitals but are more likely to be located at tertiary health care facilities, where their roles in medical education, research and clinical services cannot be overemphasised. Many patients present to tertiary facilities with primary-care problems, bypassing primary and secondary care. They are often seen initially by family physicians in general outpatient clinics, where 70% of all problems are managed without referral to other specialists. These physicians are also in charge of most of the National Health Insurance Scheme (NHIS) clinics nationwide. They are thus the gatekeepers to the majority of tertiary hospital services.

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Section: Family Physicians In District Hospitalsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Contributions of family physicians to health care services in Nigeria

Oseni

Salam

Fatusin

2021

African Journal of Primary Health Care & Family Medicine

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“…Il suffira au lecteur désireux d'approfondir la signification des concepts soulignés de cliquer sur le lien: « On sait que la médecine de famille et les soins de santé primaires (SSP) partagent les concepts de continuité, globalité et accessibilité des soins. Toutefois, on a montré que les SSP concernent la structure des pratiques tandis que la médecine de famille concerne la gestion d'un métier bien qu'ils prônent tous deux la prise de décision partagée dans la relation médecin patient » [25].…”

Section: Résultatsunclassified

Une base de connaissance multilingue et dynamique en ligne pour la médecine générale et les soins primaires

Jamoulle¹,

Augusto²,

Pizzanelli³

et al. 2019

Pan Afr Med J

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Introduction La classification internationale des soins primaires, deuxième version (CISP-2) alignée sur la classification internationale des maladies dixième révision (CIM-10) est un standard pour le recueil épidémiologique en soins primaires. La CISP-2 convient aussi pour identifier les thèmes cliniques dont discutent les médecins de famille. Les domaines contextuels de connaissances spécifiques à la médecine de famille et aux soins primaires comme les structures, la gestion, les catégories de patients, les méthodes de recherche, les aspects éthiques ou environnementaux ne sont pas standardisés et reflètent le plus souvent des vues d'experts. Méthodes Une méthode de recherche qualitative, appliquée à l'analyse de plusieurs congrès de médecine de famille a permis d'identifier, en plus des items cliniques, un ensemble de concepts contextuels abordés par les médecins de famille lors de leurs échanges pendant les congrès. Assemblés sous forme hiérarchique, ces concepts ont trouvé leur place au côté de la CISP-2, sous le nom de Q-codes version 2.5, sur le serveur sémantique multilingue multi-terminologique du Département d'Information et d'Informatique médicale (D2IM) de l'Université de Rouen, France. Les deux classifications sont éditées sous le sigle 3CGP pour Core Content Classification of General Practice . Ce serveur d'accès libre permet de consulter la CISP-2 en 22 langues et les Q-codes en dix langues Résultats Le résultat de l'utilisation conjointe de ces deux classifications, comme descripteurs dans des congrès, pour identifier des concepts dans des textes, ou indexer la littérature grise en médecine de famille et soins primaires est présenté ici dans différentes utilisations pilotes. La validité et la généralisabilité de 3CGP semble bonne au vu des traductions déjà réalisées par des collègues du monde entier et de l'applicabilité de la méthode des deux côtés de l'Atlantique. Toute fois la reproductibilité et la variation inter-codeurs restent encore à tester pour les Q-codes. La question de la maintenance reste posée. Conclusion Grâce à cette méthode, on peut mettre en évidence l'extension conceptuelle, la complexité et la dynamique du métier de médecin généraliste et de famille et de médecin de soins primaires.

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“…The definition and attributes of primary care have been discussed for a long time [15][16][17]. In sum, primary care is a forefront point of the healthcare system, Typically, it privides care to individuals with common illnesses such as the common cold (first sontact).…”

Section: ⅰ Introductionmentioning

confidence: 99%

The Primary Care Performance of Three Types of Medical Institutions: A Public Survey using the Korean Primary Care Assessment Tool

Jung

Kim

et al. 2019

Qual Improv Health Care

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These authors contributed equally this work. *These authors also contributed equally to this work.Purpose: The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance.Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions.Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions.Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

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Analysis of definitions of general practice, family medicine, and primary health care: a terminological analysis

Cited by 17 publications

References 14 publications

Contributions of family physicians to health care services in Nigeria

Contributions of family physicians to health care services in Nigeria

Une base de connaissance multilingue et dynamique en ligne pour la médecine générale et les soins primaires

The Primary Care Performance of Three Types of Medical Institutions: A Public Survey using the Korean Primary Care Assessment Tool

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