An evaluation of family physicians' educational needs and experiences in health promotion and disease prevention in Poland and Lithuania - a qualitative study

BMC Family Practice

Research Article

Tomasz Tomasik¹  Adam Windak¹  Katarzyna Dubas²  Alicja Domagala³  Linas Sumskas⁴  Jerzy Rosinski⁵ 

[1] Department of Family Medicine, Chair of the Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, 4 Bochenska Street, Krakow, Poland;Department of Health Economics and Social Security, Institute of Public Health, Jagiellonian University Medical College, 20 Grzegorzecka Street, Krakow, Poland;Department of Health Policy and Management, Institute of Public Health, Jagiellonian University Medical College, 20 Grzegorzecka Street, Krakow, Poland;Department of Preventive Medicine Medical Academy, Faculty of Public Health, Lithuanian University of Health Sciences, 9 Mickeviciaus Street, Kaunas, Lithuania;Institute of Economics and Management, Jagiellonian University, 4 Lojasiewicza Street, Krakow, Poland;

关键词: Focus Group;    Primary Health Care;    Vocational Training;    Preventive Care;    Practice Organisation;   

DOI  :  10.1186/1471-2296-12-13

 received in 2010-12-03, accepted in 2011-03-25,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe aim of this study is to explore the views of family physicians/general practitioners about the most important competences in health promotion and diseases prevention and areas where these competences might be below the desired level.MethodsA qualitative, descriptive study, combining two data collection techniques, was conducted in two Eastern European countries in June and July 2009. Focus groups numbering 10 and 9 physicians, respectively, practising in various clinical settings, were held in Poland and Lithuania. Seven well-informed health care experts were recruited in both countries to provide information during the in-depth interviews. In both formats, questions were devoted to three main areas of health promotion and disease prevention competences: (1) educational, (2) clinical, (3) organisational. A qualitative content analysis was performed.ResultsLithuanian and Polish family physicians/general practitioners view preventive care as one of their main responsibilities. Among 3 areas of competences, participants identified clinical competences as the most important in everyday practice. They also acknowledged that organisational and educational competences might be below the level required for effective preventive care. Only clinical competences were indicated as sufficiently developed during under- and post-graduate medical education.ConclusionsIn addressing current health promotion and disease prevention challenges, teachers of family medicine need to critically consider the training that currently exists for physicians. Development of a high-quality preventive service is not only a matter of proper education in the clinical field but also requires training in practice organisation and patient education.

【 授权许可】

CC BY   
© Tomasik et al; licensee BioMed Central Ltd. 2011