Need of the Hour: Family Medicine in India

Paidi, Gokul; Beesetty, Anju; Lahmar, Abdelilah; Kop, Lisa; Sandhu, Ranbir S.

doi:10.7759/cureus.24596

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Most participants, irrespective of their professional status, believed that establishing such posts could encourage more individuals to choose family medicine as a career. This finding underscores the importance of policy interventions and healthcare system reforms to promote family medicine as a viable career option (Paidi et al, 2022).…”

Section: Discussionmentioning

confidence: 76%

Perceptions of Health Care Professionals on the Scope and Role of Family Medicine: A Survey on Healthcare System of Pakistan

Naeem¹,

Ijaz²,

MAJID³

et al. 2023

Biol Clin Sci Res J

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This study aimed to explore healthcare professionals' perceptions regarding the scope and role of family medicine in the healthcare system of Pakistan. A cross-sectional survey was conducted among undergraduate students (n=170) and professional doctors (n=130) in Pakistan. Participants were recruited through convenience sampling. Data were collected using a self-administered questionnaire that assessed knowledge, attitudes, and career choices related to family medicine. The findings revealed that many participants demonstrated knowledge of family medicine as a specialty. Both undergraduate students and professional doctors expressed positive attitudes toward family medicine as a career choice. However, a higher percentage of professional doctors had knowledge of family medicine compared to undergraduate students. The study also highlighted the potential impact of creating specialist posts in family medicine in encouraging healthcare professionals to choose it as a career. The study's results indicate a growing recognition and acceptance of family medicine as a vital component of the healthcare system in Pakistan. Efforts should be made to enhance awareness and knowledge of family medicine among undergraduate students, promote interprofessional collaboration, and support evidence-based policymaking to strengthen the role of family medicine. These measures can improve healthcare access, quality, and outcomes in Pakistan.

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Section: Discussionmentioning

confidence: 76%

Perceptions of Health Care Professionals on the Scope and Role of Family Medicine: A Survey on Healthcare System of Pakistan

Naeem¹,

Ijaz²,

MAJID³

et al. 2023

Biol Clin Sci Res J

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“…The transition to universal health coverage requires a greater emphasis and growth of family medicine, and this calls for a need to understand the patient’s choice of health care provider and the perception of the patients about the family physicians. [ 1 2 3 ]…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude, and practice of patients, visiting a private primary level health care facility towards family physicians

Dasappa

Agrawal

Joy

et al. 2023

Journal of Family Medicine and Primary Care

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Aim and Objective: To study the knowledge, perception, attitude, and practice of patients visiting a private primary health centre towards family physicians. Methodology: A cross-sectional questionnaire-based study was planned. Results: A total of 272 patients visiting the health centre were included in the study. Knowledge: Above 90% of the patients felt confident in the capabilities of family physicians in managing all kinds of health problems and the time/cost-effectiveness of this speciality. Timely referral and holistic care were other areas that boosted their confidence on family physicians. 96.7% knew that family physicians are trained specialists. Attitude: Although only 50% of the study participants were already seeking the services of a family physician, 88% of them felt that a family physician would be their primary point of contact in their health care needs. Practice: The positive attitude, knowledge, and perception towards family medicine were not reflected on their treatment seeking practice in areas of care, such as childcare (66.2%) and pregnancy (81.6%), where they preferred the services of a specialist. Also, for diabetes (52%) and chest pain (66%) related issues, the patients favoured a specialist’s care over that of a family physician. Conclusion: Patients visiting our primary health centre had good knowledge and positive perception about the family physicians. Preference for specialists over family physicians was seen for conditions such as chest pain, diabetes care, child care, and obstetrics issues.

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Comprehensiveness in Primary Care: A Scoping Review

GRUDNIEWICZ,

RANDALL,

JONES

et al. 2024

Milbank Quarterly

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Policy Points Efforts to address a perceived decline of comprehensiveness in primary care are hampered by the absence of a clear and common understanding of what comprehensiveness means. This scoping review mapped two domains of comprehensiveness (breadth of care and approach to care) as well as a set of factors that enable comprehensive practice. The resulting conceptual map supports greater clarity for future use of the term comprehensiveness, facilitating more precisely targeted research, practice, and policy efforts to improve primary care systems. ContextAssociated with system efficiency and patient‐perceived quality, comprehensiveness is widely recognized as foundational to high‐quality primary care. However, there is concern that comprehensiveness is declining and that primary care physicians are providing a narrower range of services. Efforts to address this perceived decline are hampered by the many different and sometimes vague definitions of comprehensiveness in current use. This scoping review explored how comprehensiveness in primary care is conceptualized and defined in order to map its attributes in support of being able to more clearly and precisely define this key concept in research, practice, and policy.MethodsWe conducted a scoping review, following the methods of Arksey and O'Malley and Levac and colleagues. The search included terms for two key concepts: primary care and comprehensiveness. Developed in Ovid Medical Literature Analysis and Retrieval System Online (MEDLINE), the search was adapted for Cumulated Index in Nursing and Allied Health Literature (CINAHL) and Embase, as well as for gray literature. After a multistep review, included sources underwent detailed data extraction.FindingsA total of 360 sources were extracted; 57% were empirical studies and 65% were published between 2010 and 2022. Across these sources, we identified nine attributes of comprehensiveness in primary care. We mapped these attributes into two conceptual domains: breadth of care (services, settings, health needs and conditions, patients served, and availability) and approach to care (one‐stop shop, whole‐person care, referrals and coordination, and longitudinal care). Additionally, we identified three enablers of comprehensiveness, namely structures and resources, teams, and competency.ConclusionsThe conceptual map of comprehensiveness in primary care offers a valuable tool that supports clarity for future use of the term comprehensiveness. The domains and attributes we identified can be used to develop definitions and measures that are appropriate to research, practice, and policy contexts, enabling more precise efforts to improve primary care systems.

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Need of the Hour: Family Medicine in India

Cited by 3 publications

References 20 publications

Perceptions of Health Care Professionals on the Scope and Role of Family Medicine: A Survey on Healthcare System of Pakistan

Perceptions of Health Care Professionals on the Scope and Role of Family Medicine: A Survey on Healthcare System of Pakistan

Knowledge, attitude, and practice of patients, visiting a private primary level health care facility towards family physicians

Comprehensiveness in Primary Care: A Scoping Review

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