The contribution of family physicians to primary health care: Experiences from southwest Nigeria

Ilori, Temitope; Awoonidanla, Kemi T.; Adetunji, A.

doi:10.4102/phcfm.v13i1.3218

Cited by 2 publications

(6 citation statements)

References 5 publications

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“…The provision of family-centred care has fostered the implementation of domiciliary services (such as home visits) and family-level interventions (such as family conferencing for crisis resolution). 11 (Nigeria)…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…One of the key interventions involving vulnerable persons attracted to the integrated services provided at the centre is the Older Person Wellness Program (also known as the senior citizens’ club). 11 (Nigeria)…”

Section: Resultsmentioning

confidence: 99%

“…Ilori 11 Ibadan, Nigeria How family physicians created a comprehensive and holistic primary health care service at a health post situated in a home for people with disabilities.…”

Section: First Authormentioning

confidence: 99%

“…Such outreaches targeted at traders, artisans, older persons and school children have benefitted many people with health promotion information about good health-seeking behaviour, chronic disease prevention and care, human immunodeficiency virus (HIV) infections, education on risky health behaviours and cancer screening. 11 (Nigeria) This report presents an example of how the community can be involved in designing an intervention for a locally identified health problem, through the process of COPC under the guidance of family physicians, whilst at the same time providing a valuable learning experience for medicine residents. 13 (Kenya)…”

Section: (Northern Uganda)mentioning

confidence: 99%

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The contribution of family physicians to African health systems

Mash

2022

Afr. j. prim. health care fam. med.

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Background: Africa is the last region to incorporate family physicians into its health systems. They are still a relatively new concept in many countries, small in numbers and deployed in a variety of ways. There is a need for more evidence on their contribution to African health systems to guide policymakers.Aim: The aim of this study was to review the special collection of short reports on the contribution of family physicians to African health systems, published in the African Primary Health Care and Family Medicine Journal in 2021.Method: Seventeen short reports from eight countries were qualitatively and thematically analysed in ATLAS.ti. Codes, which were derived inductively, were organised into categories according to the World Health Organization’s primary health care monitoring framework.Results: In the domain of health system determinants, family physicians made little contribution to governance, adjustment to population health needs or financing. They did, however, contribute substantially to the capacity of the health workforce, supply of equipment, functioning of the health information system and use of digital technologies. In the domain of service delivery, they strengthened the model of care and championed systems for improving the quality of care. This translated into improved availability and utilisation of services, core functions of primary care, quality of care and patient safety.Conclusion: Family physicians described their important contribution to service delivery in district hospitals and primary health care. This should lead to improvements in outcomes and impact for the health system. Their contribution to the concept of resilient facilities and health services needs further exploration.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Ilori 11 Ibadan, Nigeria How family physicians created a comprehensive and holistic primary health care service at a health post situated in a home for people with disabilities.…”

Section: First Authormentioning

confidence: 99%

Section: (Northern Uganda)mentioning

confidence: 99%

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The contribution of family physicians to African health systems

Mash

2022

Afr. j. prim. health care fam. med.

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The relationship between individual-level socioeconomic status and preference for medical service in primary health institutions: a cross-sectional study in Jiangsu, China

Miao,

Fang,

Sun

et al. 2024

Front. Public Health

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BackgroundWhile China's primary health care (PHC) system covers all citizens, the use of medical services supplied by primary health institutions (PHIs) is not at ideal levels. This study explored the impact of socioeconomic status (SES) on residents' first choice of medical services provided by PHIs.MethodsThis community-based, cross-sectional study was conducted in Jiangsu Province, China, from October 2021 to March 2022. A custom-designed questionnaire was used to evaluate 4,257 adults, of whom 1,417 chose to visit a doctor when they were sick. Logistic regression was used to test the relationships among SES, other variables and the choice of medical services, and interaction effects were explored.ResultsA total of 1,417 subjects were included in this study (48.7% female; mean age 44.41 ± 17.1 years). The results showed that older age (p < 0.01), rural residence (p < 0.01), a preference for part-time medical experts in PHIs (p < 0.01), and lack of coverage by basic medical insurance (p < 0.05) were associated with the first choice to use PHIs. In the multiple logistic regression model, SES was not associated with the first choice of medical services supplied by PHIs (p > 0.05), but it interacted with three variables from the Commission on Social Determinants of Health Framework (material circumstances, behaviors and biological factors, and psychosocial factors).ConclusionVulnerable individuals who are the target visitors to PHIs are older, live in rural areas, and suffer from chronic diseases. SES, as a single factor, did not impact whether medical services at PHIs were preferred, but it mediated relationships with other factors.

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The contribution of family physicians to primary health care: Experiences from southwest Nigeria

Cited by 2 publications

References 5 publications

The contribution of family physicians to African health systems

The contribution of family physicians to African health systems

The relationship between individual-level socioeconomic status and preference for medical service in primary health institutions: a cross-sectional study in Jiangsu, China

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