2006, Number 1
<< Back Next >>
Arch Med Fam 2006; 8 (1)
Patients, Medical Residents, and Medical Students Describe Family Medicine
de Benedetto MA, Janaudis MA, Leoto RF, González- Blasco P
Language: Spanish
References: 17
Page: 9-17
PDF size: 100.67 Kb.
ABSTRACT
Objective: Our aim was to appraise the impact on patients, medical residents, and medical students when exposed to a Family Medicine out-patient physician’s consulting office within a specialty care-focused public health facility without provision of primary care.
Design: Qualitative study.
Materials and Methods: In the period during which the project was run (14 months, November 2002–December 2003), 350 patients were seen by medical residents and medical students and were supervised by a Family Physician.
Results: In accordance with the groups in which impact was appraised, the results were collected into three groups:
patients seeking a new medical service due to
dissatisfaction with previous medical care, the majority of patients (95%) referred by relatives, other patients, or
employees of the medical facility and not by physicians;
medical residents, who learned about patient-centered
medicine and who became aware of the therapeutic perspective of the physician-patient-family relationship, and medical
students, who improved their understanding of Family Medicine and who found motivation for carrying out
their academic tasks by means of the relationship they built with patients.
Conclusions: A Family Medicine outpatient facility, even when incorporated into a health facility dedicated to delivery of secondary-level specialty
medical care, is found by patients, possesses encouraging educational outcomes with medical residents and students
and may promote vocations for future Family Physicians.
REFERENCES
Who-Unicef. Primary Health-Care. Report of the International Conference on Primary Health Care, Alma-Ata. USSR, 6-12 September 1978. Geneva, World Health Organization, 1978. (Health for All Series).
González-Blasco P. De los principios científicos para la acción: el idealismo práctico de la Medicina de Família. Aten Primaria 2004; 34 (6): 313-17.
Dykes J. Learning to Listen. Fam Med. 2005; 37(3):161-2.
Blasco, PG. O Médico de família, hoje. Revista Videtur Letras, n7. São Paulo, 2004. (http://www.hottopos.com/vdletras7/pablo.htm ).
Parchman M, Burge S. The patient-physician relationship, primary care attributes, and preventive services. Fam Med 2003; 36(1) 22-7.
Rodriguez-Neto E. A Reforma Sanitária e o Sistema Único de Saúde: suas origens, suas propostas, sua implantação, suas dificuldades e suas perspectivas. In: Textos Técnicos para Conselheiros de Saúde – Incentivo à Participação Popular e Controle Social no SUS. Ministério da Saúde, Brasília, 1994.
Blasco PG, Levites M, Freeman J, Haq C.Educating Physicians for the Health of Brazil: The Role of Family Medicine. Wonca News, 2004, 30, 3, 13-15.
Crabtree BJ, Miller WL. Doing Qualitative Research. California Sage Publications, Inc, 1999.
Hodgson P, Smith P, Brown T, Dowrick, C. Stories from frequent attenders: a qualitative study in primary care. Ann Fam Med 2005; 3: 318-323.
Malterud K, Hollnagel, H. The Doctor who cried: a qualitative sutdy about the doctor´s vulnerability. Ann Fam Med 2005; 3: 348-352.
Jordan J. Belle Brown J, Russell, G. Choosing Family Medicine. What influences medical students. Can Fam Physician 2003;49:1131-1137.
South Paul J. Educating Students for the Future. Fam Med. 2005; 37(4):237-8.
Roncoletta AFT, Moreto G, Levites MR, Janaudis MA, Blasco PG, Leoto RF.. Princípios da Medicina de Família. São Paulo: Sobramfa; 2003. (cfrwww.sobramfa.com.br)
Janaudis MA, Leoto RF, Benedetto, MAC, Blasco, PG, Nicodemo IP,. Multiple perspectives on the benefit of a family practice presence in a Brazilian Public Health Facility. Symposium WONCA, 17th World Conference of Family Doctors; 2004. Conference program. Abstract n. 3437.
Blasco PG . Family Medicine in Brazil: Experiences, Reflections and Perspectives. In:Family Medicine at the dawn of 21st Century, Themes and Arguments. Instituto Mexicano del Seguro Social, MexicoDF, 2005.
Stewart M. Continuity, Care and Commitment: the course of patient-clinician relationship. Ann Fam Med 2004; 2: 388-390.
González-Blasco P, Ramirez-Villasenor I, Bustos-Saldaña R, Moreto G. La formación de Médicos Familiares en Latinoamérica: timidez académica y liderazgo errático. Arch Med Fam 2005; 7 (1):1-3.