Public Health and Family Medicine: An Opportunity

Campos‐Outcalt, Doug

doi:10.3122/jabfm.17.3.207

Cited by 9 publications

(4 citation statements)

References 2 publications

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“…In the words of Dr. Campos-Outcalt, “The reality is that many public health activities do involve limiting individual choices.”[ 17 ] How do healthcare providers consider individual autonomy in their aim for community health? On one hand, individual choice is a foundational principal of human existence.…”

Section: Discussionmentioning

confidence: 99%

The community health impasse

Warnky

Balachandra

Prasad

et al. 2021

Journal of Family Medicine and Primary Care

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Context: As social position rises, health improves. Alma Ata set the stage for community-oriented primary care (COPC), and family medicine is perfectly positioned to integrate Social Determinants of Health. India presents a unique environment for innovations in family medicine. Aims: This study aimed to (1) assess the ability of different primary care practices to address the social determinants of health (SDoH); (2) identify key obstacles and supports; and (3) provide practical insights to family physicians and other primary care providers (PCPs) for the integration of SDoH and clinical primary care. Settings and Design: A diverse sample of primary healthcare practices were selected in southern India for investigation. Data collection involved observation and informal interviews. Methods and Material: The researchers used general observation and informal interviews to collect data. Investigators used a basic interview guide to structure conversations and formal journal entries were recorded immediately following each visit. Statistical Analysis Used: Thematic analysis was conducted with NVIVO software to categorize major themes. Results: Seventeen primary healthcare practices were observed; eleven were formally enrolled for interviews. Four inputs and three outputs of socially oriented primary care practices were identified. The inputs include leadership style, appropriate staffing, funding structures, and patient panels. Social interventions, community contact, and treasuring community empowerment were the major outputs. Conclusions: Community health lies at the heart of strengthening primary healthcare. Establishing practices that bridge the gap between clinical primary care and SDoH initiatives need to be prioritized. This study fosters agency for family physicians and PCPs to engage with local communities and lead the path toward this integration.

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Section: Discussionmentioning

confidence: 99%

The community health impasse

Warnky

Balachandra

Prasad

et al. 2021

Journal of Family Medicine and Primary Care

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“…Our study displayed that public health was the most common collaborative discipline of family medicine researchers in Taiwan. Family medicine and public health are alleged to be natural allies ( Campos-Outcalt, 2004 ). Public health promotes the health of public, including epidemiology and preventive medicine.…”

Section: Discussionmentioning

confidence: 99%

“…Public health promotes the health of public, including epidemiology and preventive medicine. The goal of public health is also pursued by family physicians in the daily practice, e.g., health education, disease screening, immunization and smoking cessation ( Campos-Outcalt, 2004 ). It can be understood that the two disciplines collaborate more effectively ( Kempe et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Interdisciplinary, interinstitutional and international collaboration of family medicine researchers in Taiwan

Lin

Tseng

Chang

et al. 2015

PeerJ

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The family medicine researches flourished worldwide in the past decade. However, the collaborative patterns of family medicine publications had not been reported. Our study analyzed the collaborative activity of family medicine researchers in Taiwan. We focused on the types of collaboration among disciplines, institutions and countries. We searched “family medicine” AND “Taiwan” in address field from Web of Science and documented the disciplines, institutions and countries of all authors. We analyzed the collaborative patterns of family medicine researchers in Taiwan from 2010 to 2014. The journal’s impact factor of each article in the same publication year was also retrieved. Among 1,217 articles from 2010 to 2014, interdisciplinary collaboration existed in 1,185 (97.3%) articles, interinstitutional in 1,012 (83.2%) and international in 142 (11.7%). Public health was the most common collaborative discipline. All international researches were also interdisciplinary and interinstitutional. The United States (75 articles), the United Kingdom (21) and the People’s Republic of China (20) were the top three countries with which family medicine researchers in Taiwan had collaborated. We found a high degree of interdisciplinary and interinstitutional collaboration of family medicine researches in Taiwan. However, the collaboration of family medicine researchers in Taiwan with family medicine colleagues of other domestic or foreign institutions was insufficient. The future direction of family medicine studies could focus on the promotion of communication among family medicine researchers.

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“…The resources accessed and reviewed to inform the preparation of the presymposium discussion document included: cation (ACGME) statement regarding the community medicine objectives required in family medicine residency programs 7 ; • the ACGME statement regarding the requirements for residency programs in public health and general preventive medicine. 8 A search of the literature, coupled with suggestions from individuals consulted, identifıed several other relevant and informative Canadian, 9,10 American, [11][12][13][14][15] British, 16 -18 and Australian 19 -21 publications. These were also reviewed and assisted the development of a draft set of public health competencies relevant to family medicine and primary care.…”

Section: The Initial Development Processmentioning

confidence: 99%

Identifying Public Health Competencies Relevant to Family Medicine

Harvey

Moloughney

Iglar

2011

American Journal of Preventive Medicine

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Public health situations faced by family physicians and other primary care practitioners, such as severe acute respiratory syndrome (SARS) and more recently H1N1, have resulted in an increased interest to identify the public health competencies relevant to family medicine. At present there is no agreed-on set of public health competencies delineating the knowledge and skills that family physicians should possess to effectively face diverse public health challenges.Using a multi-staged, iterative process that included a detailed literature review, the authors developed a set of public health competencies relevant to primary care, identifying competencies relevant across four levels, from "post-MD" to "enhanced." Feedback from family medicine and public health educator-practitioners regarding the set of proposed "essential" competencies indicated the need for a more limited, feasible set of "priority" areas to be highlighted during residency training. This focused set of public health competencies has begun to guide relevant components of the University of Toronto's Family Medicine Residency Program curriculum, including academic half-days; clinical experiences, especially identifying "teachable moments" during patient encounters; resident academic projects; and elective public health agency placements. These competencies will also be used to guide the development of a family medicine-public health primer and faculty development sessions to support family medicine faculty facilitating residents to achieve these competencies. Once more fully implemented, an evaluation will be initiated to determine the degree to which these public health competencies are being achieved by family medicine graduates, especially whether they attained the knowledge, skills, and confıdence necessary to effectively face diverse public health situations-from common to emergent. (Am J Prev Med 2011;41(4S3):S251-S255)

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Public Health and Family Medicine: An Opportunity

Cited by 9 publications

References 2 publications

The community health impasse

The community health impasse

Interdisciplinary, interinstitutional and international collaboration of family medicine researchers in Taiwan

Identifying Public Health Competencies Relevant to Family Medicine

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