Family Medicine

More documents

Recommendations

Info

World Book of Family Medicine – European Edition 2015 Adverse events are frequent in primary care, mostly with no harm to the patient. Better informed and educated patients could significantly contribute to safety improvement. Let us get familiarized with preventing, reporting and analysing medical errors. Original abstract http://www.woncaeurope.org/content/333-system-medical-error-disclosure-promoting-quality-care-through-partnership-between References Michel P. Mosnier A. Kret M. Chanelière M. Dupie I. ESPRIT 2013: a French epidemiological Survey on medical errors associated to primary care beh 2014_24-25_1 World Health Organization 2013 Exploring patient participation in reducing health-care-related safety risks. Chapitre V: “Patient safety, rights and medication safety in primary care in Poland” Rachel E. Davis MSc. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expectations 2007;10, issue 3 pp.259-267 Martin HM, Navne LE, Lipzak H. Involvement of patients with cancer in patient safety: a qualitative study of currents practices, potentials and barriers. BMJ Qual Saf 2013;22:836-84 Longtin Y. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010 January; 85(1): 53–62 Lawton R. Armitage G. The role of the patient in clinical safety. The Health Foundation 2012 218
World Book of Family Medicine – European Edition 2015 Chris van Weel, MD PhD chris.vanweel@radboudumc.nl 71 – The Optimal Practice Size Revisited – a Critical Appraisal of a Topical Discussion in the Light of Academic Leadership in Primary Care Chris van Weel, MD PhD Emeritus Professor of Family Medicine/General Practice Radboud University Nijmegen, the Netherlands Professor of Primary Health Care Research, Australian National University, Canberra, Australia Past President of Wonca Department of Primary and Community Care Radboud University Nijmegen Medical Centre The Netherlands Practice size has been an issue in general practice for as long as most of us can remember. Although the discussion apparently hinges on the provision of quality of care and maintaining clinical experience, more mundane conditions like the number of general doctors (GP) in relation to the population, or the GPs’ ability to generate an income are never far away from the argumentation. There remain substantial differences in the numbers of GPs, proportional to the population [1], and this is also true for the performance of GPs in (primary) health care [2]. But there is no correlation between GP density and actual performance and never has been: in no way are the smaller or larger numbers of patients to be cared for a determinant of the care provided [3]. Against this background, a Workshop was run at the Kos WONCA Europe conference in 2005 on Optimal Practice Size. What To Preserve Of Single Handed Care? [4].The workshop reviewed the available literature and then moved to explore the personal experiences of participants in their own practice setting. The discussions amongst the universally proud GPs were animated, and yielded a diversity of views. And needless to say, that the exchanges were highly valued. But with full respect to the workshop instigators and participants, one might question the value of the exercise: posing the same question over and over again seldom leads to a new answer. The occasion of this World Book of Family Medicine offers an opportunity to revisit this and explore alternatives to approach the core values of primary care. In this, four angles come forward from which to develop these alternatives. Variation and value Variation is a powerful input to examine practitioners’ performance, trigger discussion on alternatives and effectuate change [5]. Variation appears to install feelings of unease, differing from one’s peers is seen as a sign of underperformance. Yet, the very core of primary health care and general practice is in tuning to the needs of the individuals and the community that is served [6]. As communities’ and individual needs differ, therefore general practice should differ in approaching these needs. Numbers of (general) practitioners per population is part of the variation in the context in which primary care operates. Not ‘practice size’ but how apt the practice is tuned to the needs of its patients and population should be the core of the discussion. The lone ranger versus the leader of the pack Single handed practice in the community has been the starting point of general practice, but for decades there has been an evolution in primary care from the 219
Page 1 and 2:
The World Book of Family Medicine -
Page 3 and 4:
World Book of Family Medicine - Eur
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
The WP workshops on Ethics describe
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
References: World Book of Family Me
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Original Abstract World Book of Fam
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Original abstract World Book of Fam
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
References World Book of Family Med
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168: World Book of Family Medicine - Eur
Page 193 and 194: Original abstract World Book of Fam
Page 203 and 204: Take home messages World Book of
Page 215 and 216: References World Book of Family Med
Page 217: World Book of Family Medicine - Eur
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Page 279 and 280:
Page 281 and 282:
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Quaternary Prevention rubric (www.p
Page 289 and 290:
Page 291 and 292:
Page 293 and 294:
Page 295 and 296:
Page 297 and 298:
Page 299 and 300:
Page 301 and 302:
Page 303 and 304:
Page 305 and 306:
Page 307 and 308:
Page 309 and 310:
Page 311 and 312:
Page 313 and 314:
show all

Family Medicine

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?