Family Medicine, the specialty of the future: the Portuguese situation within the European context

Villanueva, Tiago

doi:10.1186/1755-7682-2-36

Cited by 11 publications

(14 citation statements)

References 5 publications

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“…[15][16][17][58][59][60][61][62] La otra cara de la moneda es Latinoamérica, en donde existe una gran heterogeneidad en cuanto a las competencias adquiridas, como es el caso de Venezuela, Cuba, Bolivia y Ecuador. [63][64][65][66] Esta heterogeneidad se da no sólo en las competencias sino también en los nombres que recibe la especialidad aunque no cumpla los requisitos como tal y solo sirva para ese sistema de salud; por ejemplo el caso de Cuba y actualmente Venezuela, producto de un proceso político, con la definición de Medicina General Integral (MGI).…”

Section: Discussionunclassified

Programas de formacion en medicina familiar en iberoamerica

Ruilova¹,

Caspi²,

García³

et al. 2016

Rev Bras Med Fam Comunidade

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ENSAYOS Programas de formação em Medicina da Família na América LatinaFinanciación: ninguna declarada. Aprobación ética:no aplicable. Conflicto de intereses:ninguna declarada. En el siglo XXI los sistemas de salud buscan fortalecer su estructura y funcionamiento enfocándose en la estrategia de Atención Primaria de Salud, para lo cual se necesitan recursos humanos de alta calidad. Para alinear los sistemas de salud sobre la base de los valores que guían esta estrategia hacen falta políticas ambiciosas en la formación de recursos humanos competentes y suficientes. La medicina familiar, como disciplina orientada hacia la atención curativa, integral y continua, hacia la promoción de la salud y prevención de enfermedades, así como hacia la prestación de servicios en los diferentes niveles de atención, es el eje que permite cumplir dicho fortalecimiento. El médico familiar, previo a su papel como especialista, pasa por un proceso de formación en la residencia. En Iberoamérica existen pocas residencias de Medicina Familiar, y muchos programas no acreditan la calidad necesaria para formar un recurso humano médico competitivo. La respuesta académica de las instituciones en la mayoría de los países latinoamericanos ha sido muy diversa; y en algunos casos ha servido para cubrir la brecha entre la necesidad de personal y la oferta formativa, debido a la urgencia político-gubernamental. Esta revisión desea mostrar la actualidad de los programas de formación en Iberoamérica. Metodología: Se realizó una búsqueda bibliográfica en varias bibliotecas virtuales, así como literatura gris en páginas de sociedades científicas. Se recopilaron datos de líderes de opinión en la "V Cumbre Iberoamericana de Medicina Familiar" celebrada en Quito, Ecuador, en Abril de 2014. Resultados: Se obtuvieron los siguientes datos: Los tiempos en formación en Medicina Familiar en países Iberoamericanos varían entre 2 y 4 años; el 61% de los países (11 de 18) ofertan 3 años de formación, el 22,2% 4 años, y 11% 2 años (Cuba y Venezuela); en el 63,6% (7 de 11 países), el título de Medicina Familiar es obligatorio para la práctica. Conclusiones: En Iberoamérica, los programas de residencia en medicina familiar están dirigidos a corregir las deficiencias en la formación de los médicos generales y cerrar la brecha para satisfacer las necesidades de salud pública. Sin embargo, estos programas todavía carecen de muchos elementos de la formación en medicina familiar para alcanzar las competencias estandarizadas en todo el mundo. Por otra parte, si existen deficiencias en los programas de formación con las competencias y si sus necesidades no están basadas en normas internacionales, la formación resultante no produce los especialistas médicos de alta calidad capaces de resolver el 80% de los problemas de salud que presentan los pacientes.

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Section: Discussionunclassified

Programas de formacion en medicina familiar en iberoamerica

Ruilova¹,

Caspi²,

García³

et al. 2016

Rev Bras Med Fam Comunidade

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“…Evidence suggests that healthcare systems, with a focus on PHC, have had a positive impact on health outcomes, healthcare quality, access to and continuity of healthcare, system efficiency and financial sustainability, as well as public satisfaction [2][3][4]. The best approach to providing PHC is suggested to be through the use of FPP [5]. The World Health Organization (WHO) introduced the Family Physician Program (FPP) as a vital tool for improving quality, reducing costs, and ensuring effectiveness and equality [6].…”

Section: Introductionmentioning

confidence: 99%

“…The World Health Organization (WHO) introduced the Family Physician Program (FPP) as a vital tool for improving quality, reducing costs, and ensuring effectiveness and equality [6]. Establishing an FPP within a healthcare system can support an appropriate referral system that works more efficiently and increases access to services [5,7]. Creating an effective referral system to connect different levels of a healthcare system can increase efficiency [8].…”

Section: Introductionmentioning

confidence: 99%

Family physician and referral system adherence in Iranian primary healthcare system

Sokhanvar¹,

Kabir²,

Bevrani³

et al. 2020

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Background. One of the main strategies to improve access to and the quality and efficiency of healthcare systems is a family physician program (FPP) as the primary care provider within an appropriate referral system. Objectives. The aim of this study was to investigate the level of adherence of rural insured patients to family physicians (FP) and the referral system, as well as factors that affect self-referral. Material and methods. This multicenter, cross-sectional study was conducted between April 2018 and February 2019 in East Azerbaijan Province, Iran. A questionnaire-based survey was used to collect data on patient characteristics, adherence to the FPP and referral system, and the reasons for self-referral from 1,553 participants recruited using multistage cluster sampling. Results. Overall, 58.9% of participants adhered to the FPP and referral system. The total self-referral rate was 41.1%, including 24.3% patients who had attended an FP appointment only to obtain a referral code, and 16.8% had self-referred directly. Data on age, sex, family monthly expenditure, and place of residence were associated with self-referral. Structural pitfalls, societal knowledge and attitudes, and cultural challenges were identified as the patients' reasons for self-referring. Within these categories, the most frequent reasons included uncertainty about the knowledge and skills of FPs (74.2%), easy and inexpensive access to specialized services (66.7%), better quality of specialized services (59%), and a lack of awareness of the FPP and the services provided at level 1. Conclusions. A significant percentage of enrollees did not adhere to the FPP and referral system. Considering the unwelcome consequences of self-referral, designing and implementing practical interventions seems essential in order to encourage patients to be more compliant.

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“…A family practitioner is ‘mainly responsible for providing comprehensive and continuing care to every individual seeking medical care irrespective of age, sex, and illness’. [ 1 ] As a whole, patient-centered teamwork, elimination of barriers for receiving health care, developing health information system, and focus on improving the quality of health care and its financing are the main principles of family practice. [ 2 ] These features have made family practice a respectable choice for health reform.…”

Section: Introductionmentioning

confidence: 99%

The family medicine specialty, learning from experience

Soltanipour¹,

Heidarzadeh²,

Hasandokht³

2014

J Family Med Prim Care

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Family medicine has been accepted as a model for Iranian health-care reform, but many debates have been raised since its establishment. Despite many successes achieved, this area of medicine is very challengeable. Family practice as a specialty is an innovation that has been introduced by the ministry of health and medical education in Iran. Although this approach seems sophisticated, learning from experience is the first step to avoid difficulties that may occur from this selection. Our goal is to declare strengths, weaknesses, opportunities, and threats of family medicine specialty.

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Family Medicine, the specialty of the future: the Portuguese situation within the European context

Cited by 11 publications

References 5 publications

Programas de formacion en medicina familiar en iberoamerica

Programas de formacion en medicina familiar en iberoamerica

Family physician and referral system adherence in Iranian primary healthcare system

The family medicine specialty, learning from experience

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