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2018年利雅得市苏丹王子军事医疗城医生对家庭医学服务的认知:横断面研究

Perception toward the family medicine services among the Physicians of Prince Sultan Military Medical City, Riyadh City, 2018: Cross-sectional study.

作者信息

Alzahrani Abrar A, Alfentokh Osamah K, Aloggaael Abdullah S, Afifi Ayman A M, Kofi Mostafa A

机构信息

Medical Intern, Almaarefa University, Riyadh City, Saudi Arabia.

Consultant Family Medicine and EBM, Al -Wzarat Health Center, Prince Sultan Military Medical City, Riyadh City, Saudi Arabia.

出版信息

J Family Med Prim Care. 2020 Mar 26;9(3):1544-1549. doi: 10.4103/jfmpc.jfmpc_1131_19. eCollection 2020 Mar.

DOI:10.4103/jfmpc.jfmpc_1131_19
PMID:32509647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7266250/
Abstract

BACKGROUND

Family medicine is the medical specialty that continuously provides comprehensive type of health care for individuals and families. Although the family physician role is essential, this specialty faces underestimation by other physicians of other specialties, thus resulting in a considerable gap in their cooperation and coordination, as some studies around the world had shown. The present study aimed to estimate the perception of other physicians toward the practice of family medicine physicians to improve the relationship between family physicians and other physicians, which in turn may lead to enhance healthcare system by high quality of work and higher efficiency.

OBJECTIVE OF THE STUDY

To estimate the perception among the physicians of Prince Sultan Military Medical City, Riyadh City by measuring the satisfaction toward the family medicine medical practices.

SUBJECTS AND METHODS

Through a cross-sectional design, the study had recruited 289 physicians who were actively practicing and working at Prince Sultan Military Medical City and fulfill the inclusion and exclusion criteria during the period from October 2018 until June 2019. Data collection carried out by questionnaire designed and revised by an expert panel of health professionals. An appropriate statistical test, such as the Chi-square test, was used to record the statistical significance between participants' answers and their demographic characteristics.

RESULTS

According to the study design, 289 patients were included in the study; the mean age was 42 years that ranged between 25 and 74 years. Two-Third of them (66%) were male and had Saudi nationality. Half of the participants are medical consultant, and a third of all participants worked under the department of internal medicine. The majority expressed their good perception with the family physician practice (91%). Most of the medical departments satisfied with statistically significant ( value <0.05) with the need for family medicine services. There was less satisfaction from physicians in different departments with effective communication between family medicine services and other departments but didn't reach up to significant statistical level. Higher qualified physicians with high-rank job categories were less satisfied with the performance of family medicine services.

CONCLUSION

Among other physicians in different departments, family medicine physicians have a good perception, and most of the physicians agreed that family medicine physicians should work more in their referral letters to improve their communication between them and other departments.

摘要

背景

家庭医学是一门持续为个人和家庭提供全面医疗保健服务的医学专业。尽管家庭医生的角色至关重要,但该专业受到其他专科医生的低估,正如世界各地的一些研究表明的那样,这导致他们在合作与协调方面存在相当大的差距。本研究旨在评估其他医生对家庭医生执业的看法,以改善家庭医生与其他医生之间的关系,进而通过高质量的工作和更高的效率来加强医疗保健系统。

研究目的

通过衡量对家庭医学医疗实践的满意度,评估利雅得市苏丹王子军事医疗城医生的看法。

研究对象与方法

本研究采用横断面设计,在2018年10月至2019年6月期间招募了289名在苏丹王子军事医疗城积极执业且符合纳入和排除标准的医生。数据收集通过由健康专业人员专家小组设计和修订的问卷进行。使用适当的统计检验,如卡方检验,来记录参与者答案与其人口统计学特征之间的统计学显著性。

结果

根据研究设计,289名患者被纳入研究;平均年龄为42岁,年龄范围在25至74岁之间。其中三分之二(66%)为男性,具有沙特国籍。一半的参与者是医学顾问,所有参与者中有三分之一在内科部门工作。大多数人对家庭医生的执业表示良好看法(91%)。大多数医学科室对家庭医学服务的需求满意度具有统计学显著性(P值<0.05)。不同科室的医生对家庭医学服务与其他科室之间的有效沟通满意度较低,但未达到显著的统计水平。具有较高资质和高级职位类别的医生对家庭医学服务的表现满意度较低。

结论

在不同科室的其他医生中,家庭医生有良好的看法,大多数医生一致认为家庭医生应在转诊信中做更多工作,以改善他们与其他科室之间的沟通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/2e2dc41b6eeb/JFMPC-9-1544-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/26af34d264c8/JFMPC-9-1544-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/cd2b54ac9144/JFMPC-9-1544-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/25e6fc7c8c07/JFMPC-9-1544-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/2e2dc41b6eeb/JFMPC-9-1544-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/26af34d264c8/JFMPC-9-1544-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/cd2b54ac9144/JFMPC-9-1544-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/25e6fc7c8c07/JFMPC-9-1544-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/7266250/2e2dc41b6eeb/JFMPC-9-1544-g005.jpg

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Family medicine practice in Saudi Arabia: The current situation and Proposed Strategic Directions Plan 2020.沙特阿拉伯的家庭医学实践:现状与《2020年拟议战略方向计划》
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State of family medicine practice in Lebanon.
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Hospitals must take lead on new care models and work better with GPs, think tank says.智库称,医院必须在新型护理模式方面发挥带头作用,并与全科医生更好地合作。
BMJ. 2015 Mar 18;350:h1512. doi: 10.1136/bmj.h1512.
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Perceptions of medical students about family medicine in Ghana.加纳医科学生对家庭医学的看法。
Ghana Med J. 2013 Dec;47(4):178-84.
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