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Original Articles
- Knowledge and Attitudes of Indonesian General Practitioners Towards the Isoniazid Preventive Therapy Program in Indonesia
- Wira Winardi, Widhy Yudistira Nalapraya, Sarifuddin Sarifuddin, Samsul Anwar, Amanda Yufika, Adityo Wibowo, Iziddin Fadhil, Hendra Wahyuni MS, Yunita Arliny, Dewi Behtri Yanifitri, Teuku Zulfikar, Harapan Harapan
- J Prev Med Public Health. 2022;55(5):428-435. Published online August 5, 2022
- DOI: https://doi.org/10.3961/jpmph.22.248
- 2,823 View
- 164 Download
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Abstract
PDF - Objectives
The Indonesian Ministry of Health launched isoniazid preventive therapy (IPT) in 2016, with general practitioners (GPs) at the frontline of this program. However, the extent to which GPs have internalized this program remains uncertain. The aim of this study was to identify the knowledge and attitudes of GPs towards the IPT program in Indonesia.
Methods
This study used an online, self-administered questionnaire distributed via e-mail and social messaging services. A logistic regression model was employed to identify the explanatory variables influencing the level of knowledge and attitudes toward IPT among GPs in Indonesia. An empirical analysis was conducted separately for each response variable (knowledge and attitudes).
Results
Of the 418 respondents, 128 (30.6%) had a good knowledge of IPT. Working at a public hospital was the only variable associated with good knowledge, with an adjusted odds ratio (aOR) of 1.69 (95% confidence interval [CI], 1.02 to 2.81). Furthermore, 279 respondents (66.7%) had favorable attitudes toward IPT. In the adjusted logistic regression analysis, good knowledge (aOR, 0.55; 95% CI, 0.34 to 0.89), 1-5 years of work experience (aOR, 2.09; 95% CI, 1.21 to 3.60), and having experienced IPT training (aOR, 0.48; 95% CI, 0.25 to 0.93), were significantly associated with favorable attitudes.
Conclusions
In general, GPs in Indonesia had favorable attitudes toward IPT. However, their knowledge of IPT was limited. GPs are an essential element of the IPT program in the country, and therefore, adequate information dissemination to improve their understanding is critical for the long-term viability and quality of the IPT program in Indonesia. -
Summary
- Patients’ and General Practitioners’ Views About Preventive Care in Family Medicine in Switzerland: A Cross-sectional Study
- Christine Cohidon, Fabienne Imhof, Laure Bovy, Priska Birrer, Jacques Cornuz, Nicolas Senn
- J Prev Med Public Health. 2019;52(5):323-332. Published online September 17, 2019
- DOI: https://doi.org/10.3961/jpmph.19.184
- 5,084 View
- 130 Download
- 8 Crossref
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Abstract
PDF
- Objectives
The aim of this study was to describe general practitioners (GPs)’ opinions and practices of preventive care and patients’ opinions, attitudes, and behaviors towards prevention.
Methods
The data stemmed from a cross-sectional national survey on prevention conducted in Switzerland from 2015 to 2016. In total, 170 randomly drawn GPs and 1154 of their patients participated. The GPs answered an online questionnaire and the patients answered a questionnaire administrated by fieldworkers present at their practices.
Results
Both patients and GPs agreed that delivering preventive care is the dedicated role of a GP. It appeared that beyond classical topics of prevention such as cardiovascular risk factors, other prevention areas (e.g., cannabis consumption, immunization, occupational risks) were scarcely covered by GPs and reported as little-known by patients. In addition, GPs seemed to use a selective approach to prevention, responding to the clinical context, rather than a systematic approach to health promotion. The results also highlight possibilities to improve prevention in family medicine through options such as more supportive tools and public advertising, more time and more delegated tasks and, finally, a more recognized role.
Conclusions
Despite an unfavorable context of prevention within the healthcare system, preventive care in family medicine is reasonably good in Switzerland. However, some limitations appear regarding the topics and the circumstances of preventive care delivery. A global effort is needed to implement necessary changes, and the responsibility should be broadened to other stakeholders. -
Summary
Citations
Citations to this article as recorded by
- Attitudes of primary care physicians toward bariatric surgery: a free word association networks analysis
Daniel Gero, Vanessa Müller, Bálint File, Marco Bueter, Jeannette Widmer, Andreas Thalheimer
Surgery for Obesity and Related Diseases.2023; 19(10): 1177. CrossRef - Evaluation of vaccination coverage in heart failure patients in a tertiary center
Adrien Maire, Nicolas Chapet, Sylvain Aguilhon, Marie-Lucie Laugier, Paul Laffont-Lozes, Mélinda Rigoni, Betty Mathieu, Yohan Audurier, Cyril Breuker, Gaëlle de Barry, Anne Jalabert, Florence Leclercq, Jean-Luc Pasquié, François Roubille, Audrey Castet-Ni
Heliyon.2023; 9(7): e18080. CrossRef - Contributions of Japanese Hospitalists During the COVID-19 Pandemic and the Need for Infectious Disease Crisis Management Education for Hospitalists: An Online Cross-Sectional Study
Masaki Tago, Risa Hirata, Naoko E Katsuki, Yuki Otsuka, Taro Shimizu, Yosuke Sasaki, Kiyoshi Shikino, Takashi Watari, Hiromizu Takahashi, Kazunobu Une, Toshio Naito, Fumio Otsuka, Rachel Thompson, Susumu Tazuma
Risk Management and Healthcare Policy.2023; Volume 16: 1645. CrossRef - Screening for alcohol use in primary care: assessing French general practitioner practices
Tangui Barré, Vincent Di Beo, Perrine Roux, Abbas Mourad, Pierre Verger, Lisa Fressard, Thomas Herault, Jean-François Buyck, François Beck, Patrizia Carrieri
Alcohol and Alcoholism.2023; 58(6): 672. CrossRef - A Cross-Sectional Study of the Prevalence and Determinants of Common Mental Health Problems in Primary Care in Switzerland
Juliane Messer, Konstantinos Tzartzas, Régis Marion-Veyron, Christine Cohidon
International Journal of Public Health.2023;[Epub] CrossRef - Turning eating disorders screening in primary practice into treatment: A clinical practice approach
Tracey D. Wade, Catherine Johnson, Kath Cadman, Lesley Cook
International Journal of Eating Disorders.2022; 55(9): 1259. CrossRef - General practitioners’ knowledge, preparedness, and experiences of managing COVID-19 in Australia
Cristina Sotomayor-Castillo, Shizar Nahidi, Cecilia Li, Charlotte Hespe, Penelope L. Burns, Ramon Z. Shaban
Infection, Disease & Health.2021; 26(3): 166. CrossRef - Primary prevention of sexually transmitted infections in Switzerland: practices of family physicians and their determinants—a national cross-sectional survey
Hanna Vautrin, Nicolas Senn, Christine Cohidon
BMJ Open.2020; 10(9): e032950. CrossRef
- A Qualitative Inquiry Into the Challenges of Medical Education for Retention of General Practitioners in Rural and Underserved Areas of Iran
- Sajad Delavari, Mohammad Arab, Arash Rashidian, Saharnaz Nedjat, Rahmatollah Gholipour Souteh
- J Prev Med Public Health. 2016;49(6):386-393. Published online November 1, 2016
- DOI: https://doi.org/10.3961/jpmph.16.062
- 8,121 View
- 162 Download
- 9 Crossref
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Abstract
PDF
- Objectives
General practitioners (GPs) retention in rural and underserved areas highly effects on accessibility of healthcare facilities across the country. Education seems to be a critical factor that affects GPs retention. Thus, the present study aimed at inquiry into medical education challenges that limit their retention in rural and underserved areas.
Methods
A qualitative approach was applied for the aim of this study. Data were gathered via 28 semi-structured interviews with experts at different levels of Iran’s health system as well as GPs who retained and refused to retain working in rural settings. Interviews mainly were performed face-to-face and in some cases via telephone during 2015 and then coded and analyzed using content analysis approach.
Results
Iran’s medical education is faced with several challenges that were categorized in four main themes including student selection, medical students’ perception about their field of study, education setting and approach, curriculum of medical education. According to experts this challenges could results in making GP graduates disinterested for practicing in rural and underserved areas.
Conclusions
Challenges that were found could have negative effects on retention. Modification in student’s perception about rural practice could be done via changing education setting and approach and curriculum. These modifications could improve GPs retention in rural and underserved areas. -
Summary
Citations
Citations to this article as recorded by- Identifying factors affecting dentists retention in deprived areas in Iran
Mohammadreza Amiresmaeili, Majid Heidari Jamebozorgi, Azam Heidari Jamebozorgi
The International Journal of Health Planning and Management.2022; 37(3): 1340. CrossRef - Retention of dental practitioners in rural health services in Iran: Experiences from Kerman province
Mohammadreza Amiresmaili, MajidHeidari Jamebozorgi, AzamHeidari Jamebozorgi, Morteza Arab-Zozani
Dental Research Journal.2022; 19(1): 34. CrossRef - Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
Mohsen Bayati, Arash Rashidian, Vahid Yazdi-Feyzabadi, Sajad Delavari
Cost Effectiveness and Resource Allocation.2022;[Epub] CrossRef - Challenges Associated with the Education of Family Physicians in Iran: A Systematic Review
Abtin Heidarzadeh, Bita Hedayati, Mark K. Huntington, Mehdi Alvandi, Alireza Aarabi, Babak Farrokhi, Marzieh Nojomi, Somayeh Noori Hekmat, Roksana Mirkazemi
Journal of Medical Education.2022;[Epub] CrossRef - Evaluating the Current Status of Education in Family Physicians in Iranian Medical Schools
A Heidarzadeh, M Nojomi, M Alvandi, A Mohammadi, F Mohseni, P Naghshpour
Research in Medical Education.2022; 14(3): 29. CrossRef - Self-medication Pattern and Prevalence Among Iranian Medical Sciences Students
Nastaran Niroomand, Mohsen Bayati, Mozhgan Seif, Somayeh Delavari, Sajad Delavari
Current Drug Safety.2020; 15(1): 45. CrossRef Preferences of Medical Sciences Students for Work Contracts in Deprived Areas of Iran: A Discrete Choice Experiment Analysis
Ali Kazemi Karyani, Behzad Karami Matin, Parisa Malekian, Delnia Moradi Rotvandi, Saeed Amini, Sajad Delavari, Shahin Soltani, Satar Rezaei
Risk Management and Healthcare Policy.2020; Volume 13: 927. CrossRef- Inequity in the distribution of rural family physicians in Iran: a cross sectional study
Rasoul Tabari-Khomeiran, Elham Ehsani-Chimeh, Ali Davoudi Kiakalayeh, Enayatollah Homaie Rad, Sajad Delavari
International Journal of Human Rights in Healthcare.2019; 12(4): 258. CrossRef - Viewpoint: Primary care in Iran needs a paradigm shift
Vahid Yazdi-Feyzabadi, Sajad Delavari, Sara Ghasemi
British Journal of General Practice.2018; 68(670): 235. CrossRef
- A study on the practice variations according to physician characteristics.
- Eun Kyeong Jeong, Ok Ryun Moon, Chang Yup Kim
- Korean J Prev Med. 1993;26(4):614-627.
- 1,930 View
- 23 Download
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Abstract
PDF
- It is well known that a physician's personal characteristic affects his practice pattern. Furthermore, a physician's specialty has powerful influences on his practice pattern. However, despite the fact specialization has received the most attention for its influence on physician's service behavior, few studies have been conducted on the variations of contents and volume of physician's services. This study has intended to identify factors influencing the practice variations according to various physician characteristics. There are some other evidences that medical care providers are different in using of health services and resources in Korea. Four physician characteristics were selected for the analysis, two demographical factors, age and sex, and two practice factors, place of practice and medical specialty. Also, three indicators of service amount(total amount of insurance claim bill, number of visits per case, number of prescriptions per case) were selected. From the pool of insurance claims for ambulatory care received by the Korean National Federation of Medical Insurance(NFMI), 84,898 cases were randomly sampled. In the meantime using physician database of NFMI, 613 general practitioners(GP), 107 regular family physicians(FP), 483 'grandfather' family physicians(GFP), and 1,157 specialist practitioners(SP) were randomly sampled. Their different practice contents were compared concerning the specialty, age groups, sex, and practice sites(urban-rural). Specialist physicians tend to provide more costly care than do generalists. General practitioners and family physicians usually make fewer following visits and prescriptions. Age is also the important factor in determining the amount of services, which is highest at the physician's age group of 40's. Female doctors and urban practitioners use much more resources than their counterparts respectively. Research findings suggest that physician's characteristics particularly the specialty can affect practice patterns and resource utilizations. Other characteristics such as age and sex are not controllable but physician's specialty is relatively easily controllable during the entire phases of policy implementation. This is all the more true in the individual's initial decision of his specialty. Specialization therefore should receive policymaker's attention for its potential influence on medical care utilization and health care expenditure.
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