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从公众视角看家庭医学:黎巴嫩的一项全国性横断面研究。

Family medicine viewed through the public lens: A national cross-sectional study in Lebanon.

作者信息

Shalak Manar, Nepal Manoj, Al Ghadban Yasmina, Antoun Jumana, Romani Maya

机构信息

Department of Geriatrics and Palliative Care, West Virginia University Hospital, Morgantown, WV, USA.

Department of Medicine, WVU Health Science Center, West Virginia University, Morgantown, WV, USA.

出版信息

J Family Med Prim Care. 2024 Aug;13(8):3403-3407. doi: 10.4103/jfmpc.jfmpc_268_24. Epub 2024 Jul 26.

Abstract

BACKGROUND

Family medicine (FM) is a medical specialty that provides continuing, comprehensive health care for the individual and the family. This study aimed to describe Lebanese citizens' knowledge, attitudes, and practices toward FM as a specialty.

METHODS

This is a national cross-sectional phone-based survey targeting the knowledge of the public about FM and its scope of practice. Questions were asked whether participants had primary health care doctors and their specialties.

RESULTS

A total of 373 participants were included, with a response rate of 85.2%. Two-thirds were aware of the specialty of FM, while only 16.6% of the participants had previously visited a family physician. Most participants (69.7%) had a doctor they regularly consulted. One-third of participants had a general practitioner as their regular doctor. More than 80% of the participants agreed that FM physicians treat all family members with common and chronic diseases. Around 60% to 75% of participants knew that family physicians provide medical care to children, treat patients with psychiatric impairments, and perform minor surgeries. There was a significant gap in the participants' knowledge of FM physicians' role in managing obstetric or gynecologic patients.

CONCLUSION

Despite public awareness of FM, limited understanding and system challenges hinder its utilization in Lebanon. Educational campaigns, government-supported FM practices, and collaborations with public health initiatives are crucial to bridging the knowledge gap and establishing FM as the cornerstone of primary care. This knowledge gap challenges the specialty's identity and necessitates promoting FM as the cornerstone of primary care, potentially requiring a system-wide endorsement.

摘要

背景

家庭医学是一门为个人和家庭提供持续、全面医疗保健的医学专业。本研究旨在描述黎巴嫩公民对家庭医学作为一门专业的知识、态度和实践。

方法

这是一项基于电话的全国性横断面调查,旨在了解公众对家庭医学及其执业范围的认识。询问参与者是否有初级保健医生及其专业。

结果

共纳入373名参与者,回复率为85.2%。三分之二的人知晓家庭医学专业,而只有16.6%的参与者曾就诊于家庭医生。大多数参与者(69.7%)有一位他们定期咨询的医生。三分之一的参与者的常规医生是全科医生。超过80%的参与者同意家庭医学医生治疗所有患有常见和慢性疾病的家庭成员。约60%至75%的参与者知道家庭医生为儿童提供医疗护理、治疗有精神障碍的患者并进行小型手术。参与者对家庭医学医生在管理产科或妇科患者方面的作用的了解存在显著差距。

结论

尽管公众对家庭医学有所了解,但有限的理解和系统挑战阻碍了其在黎巴嫩的利用。开展教育活动、政府支持的家庭医学实践以及与公共卫生倡议的合作对于弥合知识差距并将家庭医学确立为初级保健的基石至关重要。这种知识差距挑战了该专业的身份认同,有必要将家庭医学推广为初级保健的基石,这可能需要全系统的认可。

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State of family medicine practice in Lebanon.黎巴嫩家庭医学实践状况。
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Patient preferences in choosing a primary care physician.患者在选择初级保健医生时的偏好。
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