FAMILY MEDICINE Dr Riaz Qureshi Distinguished Professor Department of Family amp Community Medicine King Saud University Riyadh Objectives Become familiar with the history and evolution of Family Medicine ID: 1047639
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1. EVOLUTION &CONCEPTS OFFAMILY MEDICINEDr. Riaz QureshiDistinguished Professor Department of Family & Community MedicineKing Saud University, Riyadh
2. ObjectivesBecome familiar with the history and evolution of Family Medicine - Understand the concepts of Family Medicine and its central & universal role in the health care system - Become aware of the desirable qualities of a Family Physician and essentials of a Family Medicine consultation
3. History of Family MedicineEVOLUTION: The age of the General Practitioner / The age of Specialization/Family Medicine as a Clinical and Academic Discipline
4. Major barriers to equitable health care - WHOUnequal access to disease prevention & careRising cost of health care Inefficient health care systemLack of emphasis on Generalists’ (Family Medicine) training
5. How to overcome these barriers ?The WHO also states, that the best option to overcome these barriers is to utilize the services of trained Family Physicians
6. Health outcome indicatorsBarbra Starfield study confirmed that the central role of Family Medicine in the health care system of a country results in enhanced quality & cost-effective care .She proved in a large multicentre study that the health outcome indicators are significantly better in those countries in which Family Medicine plays a central role in the health care system
7. Problems in the community75% Self care25% Consult FP2.5%Hosp
8. Concepts of Family MedicineDEFINITION: Family Medicine is a medical specialty of first contact with the patients and is devoted to providing preventive, promotive, rehabilitative and curative care, with emphasis on the physical, psychological and social aspects, for the patient, his family and community.The scope is not limited by system, organ, disease entity, age or sex.
9. The Need For Trained Family Physicians The central role of a well trained Family Physician in health care is well recognized in: Developed countries -- UK, USA and Canada Oil rich countries -- Saudi Arabia and Kuwait? Developing countries -- ? ? ? ? ?The need is even greater in all less developed countries.
10. 10 Cs OF FAMILY PRACTICE1. C = Caring/Compassionate2. C = Clinically Competent3. C = Cost-effective Care4. C = Continuity of Care5. C = Comprehensive Care6. C = Common Problems Management7. C = Co-ordination of Care8. C = Community-based Care & Research9. C = Continuing Medical Education10. C = Communication & Counseling Skills` with confidentiality
11. 1. C = CARINGCaring/Compassionate care An essential quality in a Family Physician Personal Care
12. 2. C = CLINICALLY COMPETENTOnly caring is not enoughNeed for 4 years training after graduation and internship
13. 3. C = COST- EFFECTIVEIn time and moneyGate keeper- Appropriate resources useUse of time as a diagnostic tool
14. 4. C = CONTINUITY OF CAREFor acute, chronic, from childhood to old age, and terminal care patients and those requiring rehabilitation.Preventive care/ Promotion of healthCare from cradle to grave
15. 5. C = COMPREHENSIVE CAREResponsibility for every problem a patient presents withPhysical, Psychological & SocialHolistic approach with triple diagnosis
16. 6. C = COMMON PROBLEMS MANAGEMENT EXPERTISEe.g. Hypertension, Diabetes, Asthma, Depression, Anemia, Allergic Rhinitis, Urinary Tract InfectionCommon problems in children and women
17. 7. C = CONTINUING MEDICAL EDUCATION (CME)To keep up-to-dateNeed for breath of knowledge
18. 8. C = CO-ORDINATION OF CAREPatient’s advocateOrganizing multiple sources of help
19. 9. C = COMMUNITY BASED CARE AND RESEARCHCare nearer patients’ homePreventive, promotive, rehabilitative and curative care in patients own environment.Relevant research within the patient’s own surroundings
20. 10. C = COMMUNICATION & COUNSELING SKILLSEssential for compliance of advice and treatment/sharing understandingConfidentiality and safety nettingNeeded for patient satisfactionInvolving patient in the management
21. Essentials of a Family Medicine ConsultationMeet & greetAll the components of history including medication, personal and Psychosocial with patient centered approachSummarizationICE: Ideas, concerns &expectations and effects on patient’s day to day life & workExamination/Diagnosis ? Differential diagnosis?Investigations & Management with patients involvement, safety netting , appropriate F/U & Referral?
22. CONCLUSIONThe principles and competencies required for the practice of Family Medicine are universal.They are applicable to all cultures and all social groups, from richest to the poorest in the community.
23. Thank youHave a nice day