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Asia Pacific Family Medicine

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https://www.readbyqxmd.com/read/30186036/patients-perspectives-regarding-hospital-visits-in-the-universal-health-coverage-system-of-thailand-a-qualitative-study
#1
Apichai Wattanapisit, Udomsak Saengow
Background: A universal health coverage policy was implemented in Thailand in 2002 and led to an increase in accessibility to, and equity of, healthcare services. The Thai government and academics have focused on the large-scale aspects, including effectiveness and impacts, of universal health coverage over one decade. Here, we aimed to identify patients' perspectives on hospital visits under universal health coverage. Methods: A qualitative study was carried out in four public hospitals in rural Thailand...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/30065616/attitudes-barriers-and-enablers-towards-conducting-primary-care-research-in-banda-aceh-indonesia-a-qualitative-research-study
#2
Ichsan Ichsan, Nur Wahyuniati, Ryan McKee, Louella Lobo, Karla Lancaster, Lynda Redwood-Campbell
Background: Conducting university-based research is important for informing primary care, especially in lower- and middle- income countries (LMICs) such as Indonesia. Syiah Kuala University (SKU), the largest educational institution in Aceh province, Indonesia, is actively establishing itself as a leader in research innovation; however, this effort has not yet demonstrated optimum results. Understanding faculty members' perceptions of how research is conducted in this setting is crucial for the design and implementation of successful and sustainable research strategies to increase the quantity and quality of primary care research conducted at LMIC universities...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/30008582/population-based-survey-regarding-factors-contributing-to-expectation-for-death-at-home
#3
Tomoya Tsuchida, Hirotaka Onishi, Yoshifumi Ono, Ako Machino, Fumiko Inoue, Manabu Kamegai
Background: In 2015 in Japan 12.7% of people die at home. Since the government has no policy to increase the number of hospital beds, at-home deaths should inevitably increase in the near future. Previous researches regarding expected place of death have focused on end-of-life patients. The aim of this study is to clarify the percentage and factors of senior people who expect at-home deaths whether they are end-of-life or not. Methods: Using cross-sectional questionnaire survey data which had been taken by a research group with the support from Tama City Medical Association (Tokyo) in 2014, univariable and multivariable logistic regression analyses were conducted to identify associations among factors...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/29930481/the-1-min-animal-test-as-a-mental-status-screening-examination-in-patients-with-diabetes
#4
Shigeki Kinuhata, Yasuhiko Takemoto, Mariko Senda, Shiho Nakai, Erika Tsumura, Tatsuyuki Otoshi, Sadahiko Hiratani, Kazuo Fukumoto, Hiroki Namikawa, Yoshihiro Tochino, Mina Morimura, Taichi Shuto, Sadahiko Uchimoto
Background: Detecting and treating dementia at an early stage are important. Although the Revised Hasegawa Dementia Scale (HDS-R) is commonly used to detect dementia, it takes about 10 min to complete. In contrast, the 1-min animal test (OMAT) takes only 1 min to complete and may be a helpful screening test for general practitioners in deciding whether to proceed with administering further diagnostic tests such as the HDS-R. We sought to examine the relationship between the OMAT and HDS-R scores, and determine the cut-off OMAT score that balanced the sensitivity and specificity in identifying HDS-R-positive patients...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/29853782/the-attitudes-and-beliefs-of-general-practitioners-towards-clinical-practice-guidelines-a-qualitative-study-in-al-ain-united-arab-emirates
#5
Latifa Mohammad Baynouna Al Ketbi, Sana Zein Al Deen
Background: The efficacy of implementing practices based on the best evidence is determined by the limitations and preparedness of the structure and processes of the healthcare system as well as healthcare professionals' (HCP) levels of knowledge and acceptance. Facilitating implementation of such practices also partly depends on HCPs' attitudes. Method: We investigate the attitudes and beliefs of four groups of physicians in the United Arab Emirates on clinical practice guidelines (CPGs), with a focus on applying revisions to these CPGs in a different setting than the one in which they were developed, and where no locally developed guidelines exist...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/29853781/preparatory-graduate-professional-training-in-general-practice-by-using-the-experiential-learning-framework
#6
Mora Claramita, Fitriana Murriya Ekawati, Aghnaa Gayatri, Wahyudi Istiono, Adi Heru Sutomo, Hari Kusnanto, Mark Alan Graber
Background: General practitioners (GPs) in Indonesia are medical doctors without formal graduate professional training. Only recently, graduate general practice (GP) is being introduced to Indonesia. Therefore, it is important to provide a framework to prepare a residency training in general practice part of which is to equip GP graduate doctors to deliver person-centered, comprehensive care in general practice. Experiential learning theory is often used to design workplace-based learning in medical education...
2018: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/29449785/a-systematic-review-of-burnout-among-doctors-in-china-a-cultural-perspective
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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