dc.contributor.author | Mohamed, Khalid Gaffer | |
dc.contributor.author | Abdelrahman, Samira Hamid | |
dc.contributor.author | Malik, Elfatih M. | |
dc.contributor.author | Hunskår, Steinar | |
dc.date.accessioned | 2020-03-30T13:59:39Z | |
dc.date.available | 2020-03-30T13:59:39Z | |
dc.date.created | 2020-01-27T14:11:22Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 1471-2296 | |
dc.identifier.uri | https://hdl.handle.net/11250/2649482 | |
dc.description.abstract | Background
Training of family physicians should include not only clinical and procedural skills, but also core values as comprehensive care, continuity of care, leadership and patient-centeredness. The Gezira Family Medicine Project (GFMP) is a 2 years Master’s programme in family medicine in Sudan. We assessed the impact of GFMP on the candidates’ adherence to some core values of family medicine.
Methods
This is a prospective study with before-after design based on repeated surveys. We used Patient-Practitioner Orientation Scale (PPOS) to assess physicians’ attitude towards patient-centeredness. Practice based data from individual patients’ consultations and self-assessment methods were used to assess physicians’ adherence to core values.
Results
At the end of the programme the candidates (N = 110) were significantly more active in community health promotion (p < 0.001), more confident as a team leader (p = 0.008), and showed increased adherence to national guidelines for managing diabetes (p = 0.017) and hypertension (p = 0.003). The responding candidates had more knowledge about patients’ medical history (p < 0.001), family history (p < 0.001) and family situation (p < 0.001). There were more planned follow up consultations (p < 0.001) and more referrals (p = 0.040). In contrast, results from PPOS showed slightly less orientation towards patient-centeredness (p = 0.007).
Conclusions
The GFMP Master’s programme induced a positive change in adherence to several core values of family medicine. The candidates became less patient-centered. | |
dc.language.iso | eng | |
dc.rights | CC BY 4.0 | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | Impact on core values of family medicine from a 2-year Master's programme in Gezira, Sudan: observational study | |
dc.type | Peer reviewed | |
dc.type | Journal article | |
cristin.ispublished | true | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1186/s12875-019-1037-1 | |
dc.identifier.cristin | 1783186 | |
dc.source.journal | BMC Family Practice | |