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Asia Pacific Family Medicine

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https://www.readbyqxmd.com/read/29449785/a-systematic-review-of-burnout-among-doctors-in-china-a-cultural-perspective
#1
REVIEW
Dana Lo, Florence Wu, Mark Chan, Rodney Chu, Donald Li
Background: Numerous studies around the world has already suggested that burnout among doctors is a global phenomenon. However, studies for burnout in doctors are relatively limited in Chinese communities when compared to the West. As risk factors, barriers to intervention and strategies combatting burnout in different parts of the world can vary a lot due to different social culture and healthcare system, study with a focus at doctors in China from a cultural perspective is a worthful endeavor...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/29422773/what-determines-medical-students-career-preference-for-general-practice-residency-training-a-multicenter-survey-in-japan
#2
Kenya Ie, Akiko Murata, Masao Tahara, Manabu Komiyama, Shuhei Ichikawa, Yousuke C Takemura, Hirotaka Onishi
Background: Few studies have systematically explored factors affecting medical students' general practice career choice. We conducted a nationwide multicenter survey (Japan MEdical Career of Students: JMECS) to examine factors associated with students' general practice career aspirations in Japan, where it has been decided that general practice will be officially acknowledged as a new discipline. Methods: From April to December 2015, we distributed a 21-item questionnaire to final year medical students in 17 medical schools...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/29410602/exploration-of-the-administrative-aspects-of-the-delivery-of-home-health-care-services-a-qualitative-study
#3
Hooman Shahsavari, Alireza Nikbakht Nasrabadi, Mohammad Almasian, Heshmatolah Heydari, Abdolrahim Hazini
Background: Because of the variety of services and resources offered in the delivery of home health care, its management is a challenging and difficult task. Objectives: The purpose of this study was to explore the administrative aspects of the delivery of home health care services. Methods: This qualitative study was conducted based on the traditional content analysis approach in 2015 in Iran. The participants were selected using the purposeful sampling method and data were collected through in-depth semi-structured personal interviews and from discussions in a focus group...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/29200943/cancer-related-post-treatment-pain-and-its-impact-on-health-related-quality-of-life-in-breast-cancer-patients-a-cross-sectional-study-in-palestine
#4
Nader H Abu Farha, Mohammed T Khatib, Husam Salameh, Sa'ed H Zyoud
Background: Post-treatment pain has been suggested as an important indicator for health-related quality of life (HRQOL) in patients with breast cancer. Therefore, this study was performed to examine the association between pain and its impact on HRQOL among breast cancer patients in Palestine. Also, this study aimed to determine the QOL profile for breast cancer patients and stated the factors associated with QOL. Methods: A correlational cross-sectional study was conducted from May 2016 to November 2016 at Al-Watani Hospital and An-Najah National University Hospital in the Nablus district in Palestine...
2017: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/28936120/knowledge-beliefs-and-practices-regarding-osteoporosis-among-female-medical-school-entrants-in-pakistan
#5
Muhammad Bilal, Abdul Haseeb, Aleena Zehra Merchant, Abdur Rehman, Mohammad Hussham Arshad, Maarij Malik, Asad Hammad Ur Rehman, Pallavi Rani, Emaan Farhan, Taha S Rehman, Umer Sultan Shamsi, Sadia Aminah
BACKGROUND: Osteoporosis is a growing health problem around the world. The increasing incidence of osteoporotic fractures coupled with the lack of knowledge about the disease in the general community means that the disease is continuously increasing the burden on health sector and the general population. The purpose of the study is to assess knowledge, attitudes and practices about osteoporosis among female medical school entrants in Karachi. METHODS: This is a descriptive cross-sectional study conducted amongst 400 female medical school entrants of DOW University of Health Sciences (DUHS) and Jinnah Sindh Medical University (JSMU)...
2017: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/28392749/patients-willingness-to-pay-for-their-drugs-in-primary-care-clinics-in-an-urbanized-setting-in-malaysia-a-guide-on-drug-charges-implementation
#6
Sharifa Ezat Wan Puteh, Siti Nurul Akma Ahmad, Azimatun Noor Aizuddin, Ramli Zainal, Ruhaini Ismail
BACKGROUND: Malaysia is an upper middle income country that provides subsidized healthcare to ensure universal coverage to its citizens. The challenge of escalating health care cost occurs in most countries, including Malaysia due to increase in disease prevalence, which induced an escalation in drug expenditure. In 2009, the Ministry of Health has allocated up to Malaysian Ringgit (MYR) 1.402 billion (approximately USD 390 million) on subsidised drugs. This study was conducted to measure patients' willingness to pay (WTP) for treatment of chronic condition or acute illnesses, in an urbanized population...
2017: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/28344507/patients-experience-of-using-primary-care-services-in-the-context-of-indonesian-universal-health-coverage-reforms
#7
Fitriana Murriya Ekawati, Mora Claramita, Krishna Hort, John Furler, Sharon Licqurish, Jane Gunn
BACKGROUND: The World Health Organization (WHO) recommendation on universal coverage has been implemented in Indonesia as Jaminan Kesehatan Nasional (JKN). It was designed to provide people with equitable and high-quality health care by strengthening primary care as the gate-keeper to hospitals. However, during its first year of implementation, recruitment of JKN members was slow, and the referral rates from primary to secondary care remained high. Little is known about how the public views the introduction of JKN or the factors that influence their decision to enroll in JKN...
2017: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/28190971/primary-care-patient-experience-and-cancer-screening-uptake-among-women-an-exploratory-cross-sectional-study-in-a-japanese-population
#8
Takuya Aoki, Machiko Inoue
BACKGROUND: Patient experience and clinical quality, which are represented by preventive care measures such as cancer screening, are both widely used for the evaluation of primary care quality. The aim of this study was to examine the association between patient experience and cancer screening uptake among women in a Japanese population. METHODS: We conducted a cross-sectional mail survey. The questionnaire was sent to 1000 adult female residents randomly selected from a basic resident register in Yugawara town, Kanagawa, Japan...
2017: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/28077927/utility-of-self-competency-ratings-during-residency-training-in-family-medicine-education-emerging-countries-findings-from-japan
#9
Michael D Fetters, Satoko Motohara, Lauren Ivey, Keiichiro Narumoto, Kiyoshi Sano, Masahiko Terada, Tsukasa Tsuda, Machiko Inoue
BACKGROUND: Family medicine education-emerging countries face challenges in demonstrating a new program's ability to train residents in womb-to-tomb care and resident ability to provide such care competently. We illustrate the experience of a new Japanese family medicine program with resident self-competency assessments. METHODS: In this longitudinal cross-sectional study, residents completed self-competency assessment surveys online during 2011-2015. Each year of training, residents self-ranked their competence using a 100-point visual analog scale for 142 conditions: acute (30 conditions), chronic (28 conditions) women's health (eight conditions), and geriatrics/home (12 conditions) care; procedures (38 types); health promotion (21 conditions)...
2017: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/27795694/family-characteristics-and-the-use-of-maternal-health-services-a-population-based-survey-in-eastern-china
#10
Ling Zhang, Chengbing Xue, Youjie Wang, Liuyi Zhang, Yuan Liang
BACKGROUND AND OBJECTIVES: Despite the benefits of maternal health services, these services are often underutilized, especially in the developing countries. The aim of the present study is to provide insight regarding factors affecting maternal health services use from the family perspective. METHODS: We use data from the fourth National Health Services Survey in Jiangsu province of Eastern China to investigate the effect of family characteristics on the use of maternal health services...
2016: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/27499687/low-carbohydrate-diet-based-intervention-for-obstructive-sleep-apnea-and-primary-hypothyroidism-in-an-obese-japanese-man
#11
Yoshio Tokuchi, Yayoi Nakamura, Yusuke Munekata, Fumio Tokuchi
BACKGROUND: Obesity is a major risk factor for obstructive sleep apnea (OSA), and weight loss is necessary in the overall management of obese patients with OSA. However, primary care physicians can provide only limited weight loss with lifestyle interventions, usually reducing a patient's body weight by only 2.5 kg or less after 6-18 months. CASE PRESENTATION: A 45-year-old Japanese man was referred to our clinic owing to obesity, daytime sleepiness, and snoring during sleep...
2016: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/27158242/the-most-important-question-in-family-approach-the-potential-of-the-resolve-item-of-the-family-apgar-in-family-medicine
#12
Hiroaki Takenaka, Nobutaro Ban
BACKGROUND: We aimed to clarify what aspects of family function are measured by the Family APGAR by examining its correlations with the fourth edition of the Family Adaptability and Cohesion Evaluation Scale at Kwansei Gakuin (FACESKG IV). Furthermore, we sought to confirm the usefulness of the Family APGAR in general practice. METHODS: We recruited 250 patients (aged 13-76 years) from the general medicine outpatient clinic in a Japanese hospital between July 1999 and February 2000...
2016: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/26924940/which-medical-interview-skills-are-associated-with-patients-verbal-indications-of-undisclosed-feelings-of-anxiety-and-depressive-feelings
#13
Michiko Goto, Yousuke C Takemura
BACKGROUND: In medical practice, obtaining information regarding patients' undisclosed "feelings of anxiety" or "depressive feelings" is important. The purpose of this study was to determine which interview skills are best suited for eliciting verbal indications of undisclosed feelings, for example anxiety or depressive feelings in patients. METHODS: Our group videotaped 159 medical interviews at an outpatient department of the Department of Family Medicine, Mie University Hospital (Mie, Japan)...
2016: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/26839510/factors-associated-with-patient-visits-to-the-emergency-department-for-asthma-therapy-in-pakistan
#14
Muhammad Bilal, Abdul Haseeb, Mohammad Hassaan Khan, Muhammad Saad, Sapna Devi, Mohammad Hussham Arshad, Anusha Alam, Abdullah Muneer Wagley, Khawaja Muhammad Ammar Ali Javed
BACKGROUND: Acute asthma is a chronic condition affecting people of all ages around the world and hence, is one of the leading causes of emergency department (ED) visits and hospital admissions globally. Most of them are related to poor patient practices and a weak healthcare system. The aim of our study was to assess the reasons for the increased usage of the ED by asthmatic patients in Pakistan. METHODS: A cross-sectional study was conducted on 600 asthmatic patients reporting to the ED of Civil Hospital Karachi over a 6-month period...
2016: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/26451130/the-cultural-context-of-teaching-and-learning-sexual-health-care-examinations-in-japan-a-mixed-methods-case-study-assessing-the-use-of-standardized-patient-instructors-among-japanese-family-physician-trainees-of-the-shizuoka-family-medicine-program
#15
Cameron G Shultz, Michael S Chu, Ayaka Yajima, Eric P Skye, Kiyoshi Sano, Machiko Inoue, Tsukasa Tsuda, Michael D Fetters
BACKGROUND: In contrast to many western nations where family medicine is a cornerstone of the primary care workforce, in Japan the specialty is still developing. A number of services within the bailiwick of family medicine have yet to be fully incorporated into Japanese family medicine training programs, especially those associated with sexual health. This gap constitutes a lost opportunity for addressing sexual health-related conditions, including cancer prevention, diagnosis, and treatment...
2015: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/26236154/a-pilot-study-to-assess-the-utility-and-perceived-effectiveness-of-a-tool-for-diagnosing-feeding-difficulties-in-children
#16
Pankaj Garg, Jennifer A Williams, Vinita Satyavrat
BACKGROUND: Food dislikes in children may result in avoiding particular food/s with major sources of essential nutrients leading to increased risk of impaired growth or cognitive development and compromised immune function. It is necessary to identify conditions contributing to feeding difficulty and associated complications. An instrument was designed to assist diagnosis and management of children with feeding difficulties. The study was conducted to test utility of the "Identification and Management of Feeding Difficulties (IMFeD)" tool in Indian children...
2015: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/26097414/describing-the-factors-that-influence-the-process-of-making-a-shared-agenda-in-japanese-family-physician-consultations-a-qualitative-study
#17
Michiko Goto, Shoji Yokoya, Yousuke Takemura, Alberto Alexander Gayle, Tsukasa Tsuda
BACKGROUND: Patients cannot always share all necessary relevant information with doctors during medical consultations. Regardless, in order to ensure the best quality consultation and care, it is imperative that a doctor clearly understands each patient's agenda. The purpose of this study was to analyze the process of developing a shared-agenda during family physician consultations in Japan. METHODS: We interviewed 15 first time patients visiting the outpatient clinic of the Department of Family Medicine in the hospital chosen for the investigation, and the 8 family physicians who examined them...
2015: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/26015773/interventions-for-body-weight-reduction-in-obese-patients-during-short-consultations-an-open-label-randomized-controlled-trial-in-the-japanese-primary-care-setting
#18
Satoshi Kanke, Takumi Kawai, Naomi Takasawa, Yukiko Mashiyama, Atsushi Ishii, Ryuki Kassai
BACKGROUND: Family physicians should maintain regular contact with obese patients to ensure they effectively reduce their body weight. However, family physicians in Japan have on average only 6 (min) per consultation, and conventional interventions for body weight reduction require a longer consultation or additional manpower. A brief intervention within the limited consultation time available is therefore needed. Here we investigated the effectiveness of a brief weight reduction intervention for obese patients and the related factors for reducing body weight during routine consultations in the primary care setting...
2015: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/25937817/impact-of-chronic-obstructive-pulmonary-disease-copd-in-the-asia-pacific-region-the-epic-asia-population-based-survey
#19
Sam Lim, David Chi-Leung Lam, Abdul Razak Muttalif, Faisal Yunus, Somkiat Wongtim, Le Thi Tuyet Lan, Vikram Shetty, Romeo Chu, Jinping Zheng, Diahn-Warng Perng, Teresita de Guia
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a clinical syndrome encompassing a group of chronic, progressive, and debilitating respiratory conditions, that are characterized by incompletely reversible airflow limitation. Within the Asia-Pacific region, prevalence estimates have been derived using various protocols and study methods, and there is little data on the impact of COPD exacerbations. This study aimed to provide a comprehensive picture of the current prevalence and burden of COPD in this region...
2015: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/25883530/the-impact-of-an-early_exposure-program-on-medical-students-interest-in-and-knowledge-of-rural-medical-practices-a-questionnaire-survey
#20
Naoto Ishimaru, Ayumi Takayashiki, Takami Maeno, Yurika Kawamura, Hiroshi Kurihara, Tetsuhiro Maeno
BACKGROUND: Many medical students in Japan were brought up in urban areas, thus rural medical practice is often unfamiliar to them. The University of Tsukuba created a one-day early_exposure program to provide freshman students with experience in rural practices. This study was designed to clarify how this one-day early_exposure program affected medical students' attitudes toward and knowledge of rural practices. FINDINGS: First-year medical students (n = 103) were assigned to one of seven rural clinics in which they experienced rural practice for one day...
2015: Asia Pacific Family Medicine
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