Khan Abdul Jalil, Ahmad Sajad, Aziz Mohammed
Department of Medical Education, The University of Manchester, Pakistan.
Cardiff and Vale University Health Board, Cardiff, Wales, UK.
J Ayub Med Coll Abbottabad. 2018 Apr-Jun;30(2):248-252.
Background: Primary health care is the backbone of comprehensive healthcare systems, and family physicians complement horizontal health coverage. In the developed world family medicine is integral to new doctors' training but, in the developing world, there are hurdles, e.g., poorly targeted financing, lack of skills and resources, and little health professionals' interest in the specialty.
This study determined perceptions of undergraduate and postgraduate medical trainees and healthcare professionals in Pakistan about family medicine. Participants' perceptions were examined via a selfadministered pre-structured questionnaire about family medicine in developing countries before and after a targeted seminar. Epi Info software (v.7) was used for statistical analysis. The p-value <0.05 was considered statistically significant.
One hundred & eight questionnaires were returned postseminar demonstrating raised participant awareness of family medicine, with the majority (postgraduate 90.00% and undergraduate 90.91%) believing that health departments should create family medicine specialist posts to encourage students and post-graduate trainees. Similarly, 89.77% undergraduates and 95.00% postgraduates believed that comprehensive family medicine in primary health could be a solution to improve health care in Pakistan. Of note, when asked pre-seminar "do you feel you would consider family medicine as career speciality?", 42% undergraduates replied yes; when asked the same question post-seminar 63% of undergraduates and 90% of postgraduates replied yes.
Introducing family medicine as a subject in medical colleges will create awareness and interest towards this speciality; until then, awareness lectures and seminars by trained family physicians will help bridge the gap towards encouraging students about its benefits.
初级卫生保健是综合医疗体系的支柱，家庭医生补充了横向医疗覆盖。在发达国家，家庭医学是新医生培训的组成部分，但在发展中国家存在障碍，例如资金投向不当、缺乏技能和资源，以及卫生专业人员对该专业兴趣不大。
本研究确定了巴基斯坦本科和研究生医学实习生以及医疗保健专业人员对家庭医学的看法。通过一份关于发展中国家家庭医学的自填式结构化问卷，在有针对性的研讨会前后对参与者的看法进行了调查。使用Epi Info软件（第7版）进行统计分析。p值<0.05被认为具有统计学意义。
研讨会后共收回108份问卷，表明参与者对家庭医学的认识有所提高，大多数人（研究生为90.00%，本科生为90.91%）认为卫生部门应设立家庭医学专科职位以鼓励学生和研究生实习生。同样，89.77%的本科生和95.00%的研究生认为初级卫生保健中的综合家庭医学可以作为改善巴基斯坦医疗保健的一种解决方案。值得注意的是，在研讨会前被问及“你是否会考虑将家庭医学作为职业专业？”时，42%的本科生回答是；在研讨会后被问及同样问题时，63%的本科生和90%的研究生回答是。
在医学院校将家庭医学作为一门学科引入将提高对该专业的认识和兴趣；在此之前，由训练有素的家庭医生举办的认识讲座和研讨会将有助于缩小差距，鼓励学生了解其益处。
