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Aile hekimliği çekirdek yeterlilikleri hastaların beklentileri ile uyuşmakta mıdır?

Do the core competencies of family medicine relevant to patients' expectations?

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Abstract (2. Language): 
Objective: The aim of the study is to determine patients' expectations from primary health care services and their family doctors; and the congruency of these expectations with the core compe¬tencies of family physicians. Methods: A qualitative research is designed in grounded theory model. Typical case sampling is used for selecting participants. Data is collected by focus groups. NVivo 8 software is used for content analysis based on grounded theory method. Results: Good doctor patient relationship, comprehensive and continuous care, easy access to the physician regardless from the symptom or disease, empathy and guidance for medical decisions are the basic expectations of patients from their family physicians. They also expect their physicians to have relevant and sufficient medical knowledge and to provide them whenever it is necessary. Conclusions: The expectations of participants were matching up with the core competencies of family medicine.
Abstract (Original Language): 
Amaç: Bu niteliksel çalışmada birinci basamak sağlık hizmetleri konusunda hasta beklentilerinin ne olduğu, bu beklentilerin, aile hekiminin özellikleri ve tanımlanmış temel yeterlilikleri ile ne kadar örtüştüğünün araştırılması amaçlanmıştır. Yöntem: Nitel araştırma olarak planlanan bu araştırmada, teori geliştirme modeli kullanılmıştır. Örneklem seçimi tipik olgu örnekleme yöntemiyle yapılmıştır. Veriler odak grup görüşmeleri ile toplanmış, içerik analizinde teori geliştirme metodu kullanılmış, NVivo 8 paket programından yararlanılmıştır. Bulgular: iyi bir hasta hekim iletişimi, kapsamlı ve sürekli bakım, yakınma ve hastalık ayırımı yapmaksızın kolayca ulaşabilecekleri bir he¬kim, kendileri ile empati yapılması ve tıbbi kararlarda kendilerine reh¬berlik edilmesi hastaların birinci basamakta çalışan aile hekimlerinden temel beklentilerini oluşturmaktadır. Aile hekimlerinin tıbbi bil¬gilerinin bu taleplerine yanıt verecek düzeyde olmasını, gerekli du¬rumlarda bakımı kendileri adına koordine etmesini istemektedirler. Sonuç: Araştırmaya katılanların aile hekimlerinden beklentileri tanımlanmış aile hekimliği çekirdek yeterlilikleri ile örtüşmektedir.

REFERENCES

References: 

1. Leeuwenhorst Working Party. The General Practitioner in Europe. In: Second European Conference on the Teaching of General Practice. Leeuwenhorst, Netherlands; 1974. p. 1-8.
2. Allen J, Gay B, Crebolder H, Heyrman J, Svab I, Ram P. The European definitions of the key features of the discipline of family practice: the role of the GP and core competencies. Br J Gen Pract 2002;52:526-7.
3. WHO Regional Office for Europe. Framework for professional and administrative development of general practice/familymedicine in Europe. Copenhagen: WHO Regional Office for Europe; 1998. p. 5-8.
4. Olesen F, Dickinson J, Hjortdahl P. General practice—time for a new definition. BMJ 2000;320:354-7.
5. EURACT. The European Definition of General Practice/Family Medicine. Short Version. Leuven: European Academy of Teachers in
General Practice, EURACT; 2005. p. 6.
6. Kellner R, Sheffield BF. The one-week prevalence of symptoms in neu¬rotic patients and normals. Am J Psychiatry 1973;130:102-5.
7. Pennebaker JW, Burnam MA, Schaeffer MA, ve ark. Lack of control as a determinant of perceived physical symptoms. J Pers Soc Psychol 1977;35:
167-74.
8. Fink P, Rosendal M, Olesen F. Classification of somatization and func¬tional somatic symptoms in primary care. Aust NZ J Psychiatry 2005;39:
772-81.
Türkiye Aile Hekimliği Dergisi |
Turkish Journal of Family Practice | Cilt 16 | Sayı 3 | 2012
9. De Waal MW, Arnold IA, EekhofJA, Van Hemert AM. Somatoform disorders in general practice: prevalence, functional impairment and comorbidity with anxiety and depressive disorders. Br J Psychiatry 2004;184:
470-6.
10. Toft T, Fink P, Oernboel Eve, Christensen K, Frostholm L, Olesen F. Mental disorders in primary care: prevalence and co-morbidity among disorders. Results from the functional illness in primary care (FIP) study. Psychol Med 2005;35:1175-84.
11. Fink P, Rosendal M, Toft T. Assessment and treatment of functional dis¬orders in general practice: the extended reattribution andmanagement-model-an advanced educational program for nonpsychiatric doctors. Psychosomatics 2002;43:93-131
12. Epstein RM, Hadee T, Carroll J, MeldrumSC, Lardner J, Shields CG.
Could this be something serious? Reassurance, uncertainty, and empathy in response to patients' expressions of worry. J Gen Intern Med 2007;22:
1731-9.
13. Wallace J, McNally S, Richmond J Hajarizadeh B, Pitts M. Challenges to the effective delivery of health care to people with chronic hepatitis B in Australia. Sex Health 2012;9:131-7.
14. Mercer SW, Jani BD, Maxwell M, Wong SY, Watt GC. Patient enable-
ment requires physician empathy: a cross-sectional study of general prac¬tice consultations in areas of high and low socioeconomic deprivation in Scotland. BMC Fam Pract 2012;8:13-6.
15. Heyrman J, editor. The EURACT Educational Agenda of General Practice/Family Medicine. Leuven: European Academy of Teachers in
General Practice, EURACT; 2005. Chapter 1, p. 12-5.
16. Adler R, Vasiliadis A, Bickell N. The relationship between continuity and patient satisfaction: a systematic review. Fam Pract 2010;27:171-8.
17. Von Bültzingslöwen I, Eliasson G, Sarvimâki A, Hjorthdal P. Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations. Fam Pract2006;23:210-9.
18. Gross R, Tabenkin H, Brammli-Greenberg S. Who needs a gatekeeper? Patients'views on the role of the family physician. Fam Pract 2000;17:
222-9.
19. Lewin SA, Skea ZC, Entwistle V, Zwarenstein M, Dick J. Interventions for providers to promote a patient-centred approach in clinical consulta¬tions. Cochrane Database Syst Rev 2001;(4):CD003267.
20. Perron NJ, Secretan F, Vannotti M, Pecoud A, Favrat B. Patient expecta¬tions at a multicultural out-patient clinic in Switzerland. Fam Pract 2003; 20:428-33.

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