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Asia Pacific Family Medicine

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
https://www.readbyqxmd.com/read/25729324/perception-of-hypertension-management-by-patients-and-doctors-in-asia-potential-to-improve-blood-pressure-control
#16
Abdul Rashid Abdul Rahman, Ji-Guang Wang, Gary Mak Yiu Kwong, Dante D Morales, Piyamitr Sritara, Renan Sukmawan
BACKGROUND: Hypertension is one of the world's most common health conditions and is a leading risk factor for mortality. Although blood pressure can be modified, there is a large proportion of patients whose blood pressure remains uncontrolled. The aim of this study, termed Edvantage 360°, was to gain a deeper understanding of hypertension management in Asia from the perspective of patients and doctors, and to propose strategies to improve blood pressure control. METHODS: Conducted in Hong Kong, Indonesia, Malaysia, the Philippines, South Korea, Taiwan, and Thailand, Edvantage 360° was a mixed-methods observational study that used both qualitative and quantitative elements: qualitative interviews and focus groups with patients (N = 110), quantitative interviews with patients (N = 709), and qualitative interviews with doctors (N = 85)...
2015: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/25705121/evaluation-of-attitude-to-knowledge-of-and-barriers-toward-research-among-medical-science-students
#17
Mahtab Memarpour, Ali Poostforoush Fard, Roghieh Ghasemi
BACKGROUND: Plans to increase the role of students in health research require data on students' knowledge and views of research. The aim of the study was to evaluate these factors toward research among medical science students. METHODS: Undergraduate and postgraduate students of three medicine, dentistry and pharmacy schools in Shiraz were enrolled in a cross-sectional descriptive study using questionnaires to provide details of the parameters of attitude to, knowledge of and barriers toward research for each individual...
2015: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/24397851/need-to-teach-family-medicine-concepts-even-before-establishing-such-practice-in-a-country
#18
Rasnayaka M Mudiyanse
BACKGROUND: The practice of family medicine is not well established in many developing countries including Sri Lanka. The Sri Lankan Government funds and runs the health facilities which cater to the health needs of a majority of the population. Services of a first contact doctor delivered by full time, vocationally trained, Family Physicians is generally overshadowed by outpatient departments of the government hospitals and after hours private practice by the government sector doctors and specialists...
January 8, 2014: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/28392748/factors-associated-to-the-career-choice-of-family-medicine-among-japanese-physicians-the-dawn-of-a-new-era
#19
Kenya Ie, Masao Tahara, Akiko Murata, Manabu Komiyama, Hirotaka Onishi
BACKGROUND: Despite recent developments in post-graduate family medicine training in Japan, the numbers of junior doctors entering family medicine residencies are still limited. The objective of this qualitative study was to investigate the possible factors associated to the career choice of family medicine, especially in the context of the newly established family medicine programs in Japan. METHODS: From December 2010 to January 2011, we distributed a semi-structured questionnaire about career choice to 58 physician members of the Japan Primary Care Association, and 41 of them responded...
2014: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/25606021/developing-a-primary-care-research-agenda-through-collaborative-efforts-a-proposed-6e-model
#20
Ngiap Chuan Tan, Chirk Jenn Ng, Mitchell Rosemary, Khan Wahid, Lee Gan Goh
BACKGROUND: Primary care research is at a crossroad in South Pacific. A steering committee comprising a member of WONCA Asia Pacific Regional (APR) council and the President of Fiji College of General Practitioners garnered sponsorship from Fiji Ministry of Health, WONCA APR and pharmaceutical agencies to organize the event in October 2013. This paper describes the processes needed to set up a national primary research agenda through the collaborative efforts of local stakeholders and external facilitators using a test case in South Pacific...
2014: Asia Pacific Family Medicine
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