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Emerging roles of community health practitioners
Published in Ben Y.F. Fong, Martin C.S. Wong, The Routledge Handbook of Public Health and the Community, 2021
While the secondary and tertiary care are made up by specialist and hospital services, primary care is the first level of care in the whole health care system. To enable people to receive health services in the community, primary health care involving family doctor and family medicine practise has been promoted in the recent decades. In addition to family doctors, cross-sectoral and inter-organisational coordination should be enhanced. Community health practitioners of the multidisciplinary team include doctors, dentists, Chinese medicine practitioners, nurses, chiropractors, physiotherapists, occupational therapists, clinical psychologists, dietitians, pharmacists, optometrists, speech therapists and podiatrists. Through provision of comprehensive, holistic, preventive and continuing health care services in the communities, the public awareness in disease prevention and self-health management will be enhanced. Greater support for individuals with chronic diseases will be provided to prevent from unnecessary and immature hospitalisation and institutionalisation.
Meeting people’s health needs
Published in Michael Kidd, Cynthia Haq, Jan De Maeseneer, Jeffrey Markuns, Hernan Montenegro, Waris Qidwai, Igor Svab, Wim Van Lerberghe, Tiago Villanueva, Charles Boelen, Cynthia Haq, Vincent Hunt, Marc Rivo, Edward Shahady, Margaret Chan, The Contribution of Family Medicine to Improving Health Systems, 2020
Michael Kidd, Cynthia Haq, Jan De Maeseneer, Jeffrey Markuns, Hernan Montenegro, Waris Qidwai, Igor Svab, Wim Van Lerberghe, Tiago Villanueva, Charles Boelen, Cynthia Haq, Vincent Hunt, Marc Rivo, Edward Shahady, Margaret Chan
Family medicine is a component of primary care and is defined as a specialty of medicine concerned with providing comprehensive care to individuals and families and integrating biomedical, behavioral, and social sciences; it is known as general practice in some countries. Family doctors are medical specialists trained to provide health care services for all individuals regardless of age, sex, or type of health problem. They provide primary and continuing care for entire families within their communities, address physical, psychological and social problems, and coordinate comprehensive health care services with other specialists as needed. Family doctors may also be known as family physicians or general practitioners. They differ from general doctors who may work in the community without further specialist training following medical school.
The ethics of BARD
Published in Ed Warren, B.A.R.D. in the Practice, 2018
One reason why patients consult with a family doctor is because she is an expert in family medicine – she knows more than her patient and she knows how to use that knowledge. In this respect a consultation is like any other interaction between an expert and a non-expert who wants to use the expert’s expertise. It is no more condescending for a family doctor to offer advice to a patient than it is for a plumber to fix your heating or for an electrician to tell you that you have done your wiring all wrong. Experts are expected to know more than you do yourself.
The rising threat of illicit amphetamine-type stimulant use among methadone maintenance treatment patients in East Coast Malaysia: a retrospective observational study
Published in The American Journal of Drug and Alcohol Abuse, 2023
Halim Ismail, Hanis Ahmad, Aishah Sanef, Winda Shahabudin, Naiemy Reffin, David Chan, Dzualkmal Dawam, Fathulzhafran Hanan, Mahani Nordin, Luqman Sahar, Khairuddin Daud, Kuzakuwan T Bongsu, Faeiz Syezri, Harith Mustapa
Looking into bloodborne diseases and their association with ATS, conflicting data exist. The reported associations are mainly related to the coexistence of high-risk sexual and injecting behaviors among users (17). The prevalence of bloodborne infection is higher among methadone-using patients, exacerbated by factors that include insufficient access to testing, lack of treatment, social exclusion, and discrimination from service providers (38). Surprisingly, we found that patients who were hepatitis B- and C-seropositive were less likely to misuse ATS during treatment. Although no direct evidence is present, the higher prevalence of viral bloodborne infection is a possible outcome of integrating the National Harm Reduction Program with the management of hepatitis and HIV in primary health-care settings in Malaysia (39). Through this integration, a positive patient – health-care provider relationship is established during the course of treatment. Here, each patient is closely monitored by dedicated medical officers, while family medicine specialist care is readily accessible (40). The program also led to definitive accessibility to treatment for hepatitis C increasing greatly in Malaysia. The Malaysian government has acted to ensure that the generic version of a direct-acting antiviral (sofosbuvir) can be imported into the country (3). An integrated healthcare is thus encouraged to be practiced at other methadone treatment clinics. Nonetheless, this finding should be interpreted in light of limitations, such as data collection from only one state in East-Coast Malaysia.
Typologies of education and training pathways for general practitioners: a scoping review
Published in Education for Primary Care, 2021
Janice Hoang, Karen Mattick, Vivienne Baumfield
In this typology, family medicine is a relatively new speciality in healthcare systems and was established at the beginning of the twenty-first century based on training programmes from developed countries. Thus, there are limited training information and progress in comparison with typology 1 and typology 2. This typology was found commonly in low- and middle-income countries, for instance, Uganda, Kenya and Botswana. Noticeably, FPs play a vital role in providing a myriad of care in small rural health centres or hospitals like preventative care and primary care services within the community, including the diagnosis, treatment, and management of accident and emergence; rehabilitation support and end of life care. Curriculum contents and principles mainly focus on community health, family-centred healthcare and cost-effective in which emphasises on surgical and emergency skills. Nonetheless, family medicine has not been included in undergraduate programmes and almost half of the doctors practice without specialist education in family medicine. Assessment methods are typically applied traditional approaches instead of using standard frameworks. Duration of postgraduate training varies with multiple training forms that also shape diversity and flexibility.
The Multidimensional Behavioral Health Screen 1.0: A Translational Tool for Primary Medical Care
Published in Journal of Personality Assessment, 2020
Participants were adult volunteers from the waiting room of a busy family medicine clinic in a medium-sized city in the rural Appalachian mountains of the southeastern United States. The facility is a training clinic for a regional branch of a major medical school and provides supervised experience for medical students and residents in several specialty areas. The volume in family medicine is approximately 35,000 patient visits annually. Participants were required to be at least 18 years old and able to read and understand English test materials prepared at approximately the 4th grade level. Participants were excluded from the study if they produced invalid MMPI-2-RF protocols using the standard cutoff scores of CNS > 17, VRIN-r > 79, TRIN-r > 79, F-r = 120, or Fp >99; these filtering criteria resulted in the retention of 166 participants (73%) out of the full sample of 228. Of the 166, 66.3% were women and 33.7% men. Ages ranged from 18.8 to 79.8, with a mean of 47.6. Reported ethnicities were 73.5% White, 20.5% Black, 3.6% Ethnic Hispanic, and 3% “other.” Participants were compensated for their time by receiving a $20 gift card to Walmart after completion of the study. The study was approved by the IRB of [Western Carolina University].