A global picture of family medicine: the view from a WONCA Storybooth

被引:8
作者
Cubaka, Vincent K. [1 ,2 ]
Dyck, Clayton [3 ]
Dawe, Russell [4 ]
Alghalyini, Baraa [5 ,6 ]
Whalen-Browne, Molly [7 ]
Cejas, Gabriel [8 ]
Gibson, Christine [7 ]
机构
[1] Univ Rwanda, Sch Med & Pharm, KG 11 Ave, Kigali, Rwanda
[2] Aarhus Univ, Ctr Global Hlth, Dept Publ Hlth, Bartholins Alle 2, DK-8000 Aarhus C, Denmark
[3] Univ British Columbia, Dept Family Practice, 5950 Univ Blvd 310, Vancouver, BC V6T 1Z3, Canada
[4] Mem Univ Newfoundland, Hlth Sci Ctr, Discipline Family Med, Room 2743, St John, NF A1B 3V6, Canada
[5] Alfaisal Univ, Coll Med, Al Zahrawi St Interconnecting Takhassusi St, Riyadh 12714, Saudi Arabia
[6] Univ Toronto, Dept Family & Community Med, 500 Univ Ave, Toronto, ON MSG 1V7, Canada
[7] Univ Calgary, Dept Family Med, 2500 Univ Dr NW, Calgary, AB T2N 1N4, Canada
[8] Univ Buenos Aires, Sch Med, Paraguay 2155,C1121ABG, Caba, Argentina
关键词
Family medicine; Family doctor; Family physician; Narratives; Stories; Qualitative; Motivation; Global; Value; JOB-SATISFACTION; GENERAL-PRACTICE; CAREER; HEALTH; PHYSICIANS; REPUTATION; IDENTITY; STUDENTS; CHOICE; GPS;
D O I
10.1186/s12875-019-1017-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Family Medicine is a novel discipline in many countries, where the motivation for training and value added to communities is not well-described. Our purpose was to understand the reason behind the choice of Family Medicine as a profession, the impact of Family Medicine on communities, and Family Medicine's characterizing qualities, as perceived by family doctors around the world. Methods One-question video interviews were conducted using an appreciative inquiry approach, with volunteer participants at the 2016 World Organization of Family Doctors conference in Rio de Janeiro. Qualitative data analysis applied the thematic, framework method. Results 135 family doctors from 55 countries participated in this study. Three overarching themes emerged: 1) key attributes of Family Medicine, 2) core Family Medicine values and 3) shared traits of family doctors. Family Medicine attributes and values were the key expressed motivators to join Family Medicine as a profession and were also among expressed factors that contributed to the impact of Family Medicine globally. Major sub-themes included the principles of comprehensive care, holistic care, continuity of care, patient centeredness, and the patient-provider relationship. Participants emphasized the importance of universal care, human rights, social justice and health equity. Conclusion Family doctors around the world shared stories about their profession, presenting a heterogeneous picture of global Family Medicine unified by its attributes and values. These stories may inspire and serve as positive examples for Family Medicine programs, prospective students, advocates and other stakeholders.
引用
收藏
页数:9
相关论文
共 33 条
  • [1] Arya N, 2017, CAN FAM PHYSICIAN, V63, P602
  • [2] Arya N, 2017, CAN FAM PHYSICIAN, V63, P436
  • [3] Beaulieu MD, 2009, CAN FAM PHYSICIAN, V55, pE14
  • [4] Work values and job satisfaction of family physicians
    Bouwkamp-Memmer, Jennifer C.
    Whiston, Susan C.
    Hartung, Paul J.
    [J]. JOURNAL OF VOCATIONAL BEHAVIOR, 2013, 82 (03) : 248 - 255
  • [5] Buddeberg-Fischer B, 2011, FAM MED, V43, P29
  • [6] Bunker J, 2009, AUST FAM PHYSICIAN, V38, P341
  • [7] Cooperrider D L., 2000, Team Performance Management, V6, P140
  • [8] House officers' attitude towards family medicine and its choice as a career in Egypt
    Elkhawaga, Ghada
    Bernard, Bernadette
    El-Gilany, Abdel-Hady
    [J]. FAMILY PRACTICE, 2015, 32 (02) : 198 - 204
  • [9] Essuman A, 2013, Ghana Med J, V47, P178
  • [10] When and why do doctors decide to become general practitioners? Implications for recruitment into UK general practice specialty training
    Irish, Bill
    Lake, Jonathan
    [J]. EDUCATION FOR PRIMARY CARE, 2011, 22 (01) : 20 - 24