Lecture №8 Family medicine and its meaning in system of medical help to population The Term General Practitioner (GP) came into use at about the beginning of the 19th century Before that

What is the Contribution of

Family Practice According

to National Data Sets?

• In 1997, the proportion of non-Federal, allopathic, primary care practicing in non-MSA, rural setting was:
• Family Practice 21%
• General Internists 8%
• General Pediatricians 7%

• Family Medicine and Rural Settings

• Family Medicine is based on its ability to create long term relationships of trust and partnership between doctors and patients
• Continuity is based on time commitment

• The Doctor-Patient Relationship is being constantly eroded

• The Scope of Family Medicine is Shrinking
• Internal Pressures
• Issues of Competency
• External Pressures: Economic forces
• Mandatory Hospitalists
• Unfavorable reimbursement for procedures performed by Family Physicians

• The Boundaries of the Specialty Eroding Away?

• In forming the state policy in the sphere
• of public health several facts were of the
• greatest significance, they were: realization of
• World Health Organization Strategy “Health-21” (1998)
• and “Baselines of Policy in Achieving Health for Every
• body in the European Region (2000).
• The decree of the Ukrainian President “On the concept of
• public health development for the population of Ukraine”
• and the Cabinet of Ministers resolution “On complex
• measures in family medicine within the system of public
• health”.

• Thus, today the development of the status of a family doctor has become a task of the state level and the main direction of local authorities actions and those of local public health workers. the modern stage of the reform in medical aid services for the population has its task to use effectively and economically the public health resources, improve access to medical services and to increase the quality of these services.

• The main principles of reforming are:
• • family orientation,
• • ensuring continuity of medical help from birth and through the life span,
• • prevention in forming, keeping up and improving the health of every family member,
• • concern about social, economic, ecological, genetic psychological and other factors’ influence on patients.

•