从公众视角看家庭医学:黎巴嫩全国横断面研究。

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of Family Medicine and Primary Care Pub Date : 2024-08-01 Epub Date: 2024-07-26 DOI:10.4103/jfmpc.jfmpc_268_24
Manar Shalak, Manoj Nepal, Yasmina Al Ghadban, Jumana Antoun, Maya Romani
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引用次数: 0

摘要

背景:家庭医学(FM)是一门为个人和家庭提供持续、全面医疗保健的医学专科。本研究旨在描述黎巴嫩公民对家庭医学这一专科的认识、态度和做法:这是一项全国性横断面电话调查,旨在了解公众对调频及其实践范围的认识。问题包括参与者是否有初级保健医生及其专业:共有 373 人参与了调查,回复率为 85.2%。三分之二的参与者知道调频的专业,而只有 16.6% 的参与者以前看过家庭医生。大多数参与者(69.7%)有定期咨询的医生。三分之一的参与者的固定医生是全科医生。超过 80% 的参与者认为,家庭医生会治疗所有家庭成员的常见病和慢性病。约有 60% 至 75% 的参与者知道家庭医生为儿童提供医疗服务、治疗精神障碍患者和进行小手术。参与者对家庭医生在管理产科或妇科病人方面的作用的了解存在很大差距:尽管公众对调频技术有所了解,但有限的认识和系统挑战阻碍了其在黎巴嫩的应用。教育活动、政府支持的妇产科实践以及与公共卫生倡议的合作对于缩小知识差距并将妇产科作为初级保健的基石至关重要。这种知识差距对该专科的身份提出了挑战,因此有必要将调频作为初级保健的基石加以推广,这可能需要全系统的认可。
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Family medicine viewed through the public lens: A national cross-sectional study in Lebanon.

Background: Family medicine (FM) is a medical specialty that provides continuing, comprehensive health care for the individual and the family. This study aimed to describe Lebanese citizens' knowledge, attitudes, and practices toward FM as a specialty.

Methods: This is a national cross-sectional phone-based survey targeting the knowledge of the public about FM and its scope of practice. Questions were asked whether participants had primary health care doctors and their specialties.

Results: A total of 373 participants were included, with a response rate of 85.2%. Two-thirds were aware of the specialty of FM, while only 16.6% of the participants had previously visited a family physician. Most participants (69.7%) had a doctor they regularly consulted. One-third of participants had a general practitioner as their regular doctor. More than 80% of the participants agreed that FM physicians treat all family members with common and chronic diseases. Around 60% to 75% of participants knew that family physicians provide medical care to children, treat patients with psychiatric impairments, and perform minor surgeries. There was a significant gap in the participants' knowledge of FM physicians' role in managing obstetric or gynecologic patients.

Conclusion: Despite public awareness of FM, limited understanding and system challenges hinder its utilization in Lebanon. Educational campaigns, government-supported FM practices, and collaborations with public health initiatives are crucial to bridging the knowledge gap and establishing FM as the cornerstone of primary care. This knowledge gap challenges the specialty's identity and necessitates promoting FM as the cornerstone of primary care, potentially requiring a system-wide endorsement.

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