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Evaluation of patient referrals to family physicians in Georgia

100%
Verulava T., Beruashvili D., Jorbenadze R., Eliava E.
Family Medicine & Primary Care Review
|
2019
|
issue 2
180-183
EN
Background. Adequate utilization of primary care directly reflects the health status of the population. In Georgia (Republic), many patients seek care without a referral by a primary-care provider, and as a result, patient referral rates to family physicians are low. A tendency of patient self-referral behavior may reduce the effectiveness of the healthcare system. Objectives. The purpose of the research is to study the problem of the low rate of patient referrals to family physicians in Georgia. Material and methods. Within the quantitative survey, 20 family physicians and 300 patients were interviewed through a semi-structured questionnaire in different regions of Georgia. Results. Patient referral rates to family physicians are low. 15% (n = 3) of family physicians recognize that patients often address them only for a referral to specialists. Only 5% (n = 3) of family physicians provide preventive consultations on occasion and 50% (n = 10) – in the case of need only. 70% (n = 14) of family physicians think that their remuneration is not adequate for their work and that they work more than they are paid. 35% (n = 105) of respondents in the case of a health problem address both a family physician and a specialist- -physician. 42% (n = 126) of patients visit a family physician once a year or do not visit at all, and 47% (n = 141) of patients believe that the family physician institute needs some changes. Conclusion. The result suggests that the low rate of patient referrals to family physicians is due to distrust towards family physicians, which is related to a lack of qualification of physicians and low public awareness of the competence of the family physicians. Due to inadequate reimbursement, family physicians do not have enough motivation to provide adequate service, and the lack of continuous professional education negatively affects their professional development. It is recommended to raise public awareness about primary care, to introduce effective methods for payment of family physicians and to increase the role and affordability of continuous professional education.
2
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Characteristics, types and causes of chest pain in an urban family practice secondary care center in South India

100%
Kumar G.S. Y., Rajkumar Honest P. C., Subramanian A., Abraham R., Teja Velaga S., Pricilla R. A., Kirubah Vasandhi D., Sunil A.
Family Medicine & Primary Care Review
|
2017
|
issue 4
377-381
3
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Prevalence of insomnia and use of hypnotics in seniors from the Łodz Province, Poland

88%
Bielec F., Kamińska E., Dudek R., Koziarska-Rościszewska M., Rysz J.
Family Medicine & Primary Care Review
|
2019
|
issue 1
17-22
EN
maintaining sleep and/or waking up too early. As a result, patients may complain about physical and mental fatigue and general malaise during the day. Hence, people suffering from insomnia often look for treatment options. Objectives. To assess the frequency of insomnia in seniors; to establish the main predisposing factors and to evaluate the pharmacotherapy. Material and methods. The study was conducted in the group of 298 aged 60+ residents of Lodz region, Poland. An anonymous questionnaire concerning lifestyle, sleep disorders, and hypnotics use was conducted by each patient. The Athens Insomnia Scale – a standardized questionnaire to diagnose insomnia was also performed. Patients were allocated into 2 groups: with and without insomnia. Collected data were statistically analyzed with the use of the t-student and chi-square tests. Results. 25.8% of all patients were diagnosed with insomnia, and greater age, female sex, and mental or neurological disorders were found to be associated with insomnia in the elderly. Moreover, 22.8% of all patients took hypnotics despite the fact that 41.2% of them did not fulfill the criteria of insomnia. H1-blockers (32.4%) were the most often used. Conclusions. While H1-blockers are not recommended as the first choice insomnia drugs, they are the most frequently used hypnotics. A significant group of patients take these without medical recommendation. The implementation of a simple tool for diagnosing insomnia in everyday practice would be useful.
4
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Developing family practice research: recommendations for young researchers from a resource-limited country

88%
Anastasaki M., Lionis C.
Medical Science Pulse
|
2017
|
vol. 11(1)
4-9
EN
Znaczenie badań w praktyce lekarza rodzinnego zostało powszechnie uznane przez czołowe organizacje międzynarodowe i uważane jest za podstawowy element poprawy jakości opieki zdrowotnej. Lekarze specjalizujący się w medycynie rodzinnej będący u progu swojej kariery naukowej często napotykają znaczne trudności związane z brakiem szkoleń, zasobów i umiejętności. Celem niniejszej pracy jest przedstawienie doświadczeń zdobytych w kraju o ograniczonych zasobach oraz przekazanie praktycznych wskazówek młodym naukowcom, aby zwiększyć ich kompetencje badawcze poprzez poszerzenie sieci kontaktów zawodowych, wykorzystanie źródeł finansowania i skuteczne prezentowanie wyników badań opinii publicznej oraz międzynarodowej społeczności naukowej. Młodzi naukowcy z praktyk lekarzy rodzinnych, zwłaszcza pracujący w warunkach niskich zasobów, mogą napotkać wiele różnych przeszkód od początku swojej kariery, a działania na rzecz zwiększenia potencjału badawczego są niezbędne na całym świecie, aby pomóc im złagodzić te bariery. Mimo potencjalnych trudności, wielu młodych naukowców może to osiągnąć. W oparciu o nasze doświadczenie w dziedzinie badań i wiedzę zdobytą w tworzeniu udanej sieci badań w zakresie praktyki rodzinnej w kraju o niskich zasobach staraliśmy się zaproponować praktyczne zalecenia mające na celu zwiększenie konkurencyjności osobistej i potencjału młodych badaczy praktyk rodzinnych. Nie można jednak zapominać, że pasja i entuzjazm będą zawsze kluczowymi czynnikami poprawiającymi opiekę zdrowotną na całym świecie.
5
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Students’ opinions on working in rural practice in Slovenia

75%
Petrovcic R.
Family Medicine & Primary Care Review
|
2016
|
issue 4
448-454
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