File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Introducing family medicine in a pluralistic health care system: How patients and doctors see it

TitleIntroducing family medicine in a pluralistic health care system: How patients and doctors see it
Authors
KeywordsFamily practice
Focus group
Health care system
Health policy
Public opinion
Issue Date2011
PublisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/
Citation
Family Practice, 2011, v. 28 n. 1, p. 49-55 How to Cite?
AbstractBackground: The health care systems in many countries are focused on specialist care. In those countries that have recently changed to a primary care-based system, some doctors and patients were dissatisfied with the change. Objective: To explore the opinions of the general public and the doctors on the change to a family medicine (FM)-based health care system. Methods: Qualitative study with focus groups of doctors working in different practice settings. Quantitative study with questionnaires sent to all doctors registered in Hong Kong and a telephone survey targeting the general public aged >18. Results: Doctors in the focus groups generally supported a FM-based health care system. They were concerned that there were not enough family doctors for such a system and the patients' current free choice of any doctor for primary care would impede its success. Thousand six hundred and forty-seven adults took part in the telephone survey (response rate 67.6%) and 2310 doctors (22.8%) responded to the questionnaire. Nearly 95% of the general public respondents agreed to the FM system though only 66.3% of them had ever heard of the term family doctor. About 65% of the doctors supported this system but only 33% agreed that the system would work. The specialist-doctors were less supportive of mandatory referral than the non-specialists, while the public was equally divided on this issue. Conclusions: The public accepts the FM-based system but needs education on the benefits of primary health care. Direct access to the specialist would be the greatest barrier. Government involvements are essential for the reform. © The Author 2010. Published by Oxford University Press. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/134431
ISSN
2015 Impact Factor: 2.022
2015 SCImago Journal Rankings: 1.048
ISI Accession Number ID
Funding AgencyGrant Number
Central Policy Unit of the Government of the Hong Kong Special Administrative Region
Research Grants Council of the Hong Kong Special Administrative Region, ChinaHKU 7002-PPR-3
Funding Information:

Central Policy Unit of the Government of the Hong Kong Special Administrative Region; Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. HKU 7002-PPR-3).

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorWun, YTen_HK
dc.contributor.authorLam, TPen_HK
dc.contributor.authorLam, KFen_HK
dc.contributor.authorGoldberg, Den_HK
dc.contributor.authorLi, DKTen_HK
dc.contributor.authorYip, KCen_HK
dc.date.accessioned2011-06-17T09:20:24Z-
dc.date.available2011-06-17T09:20:24Z-
dc.date.issued2011en_HK
dc.identifier.citationFamily Practice, 2011, v. 28 n. 1, p. 49-55en_HK
dc.identifier.issn0263-2136en_HK
dc.identifier.urihttp://hdl.handle.net/10722/134431-
dc.description.abstractBackground: The health care systems in many countries are focused on specialist care. In those countries that have recently changed to a primary care-based system, some doctors and patients were dissatisfied with the change. Objective: To explore the opinions of the general public and the doctors on the change to a family medicine (FM)-based health care system. Methods: Qualitative study with focus groups of doctors working in different practice settings. Quantitative study with questionnaires sent to all doctors registered in Hong Kong and a telephone survey targeting the general public aged >18. Results: Doctors in the focus groups generally supported a FM-based health care system. They were concerned that there were not enough family doctors for such a system and the patients' current free choice of any doctor for primary care would impede its success. Thousand six hundred and forty-seven adults took part in the telephone survey (response rate 67.6%) and 2310 doctors (22.8%) responded to the questionnaire. Nearly 95% of the general public respondents agreed to the FM system though only 66.3% of them had ever heard of the term family doctor. About 65% of the doctors supported this system but only 33% agreed that the system would work. The specialist-doctors were less supportive of mandatory referral than the non-specialists, while the public was equally divided on this issue. Conclusions: The public accepts the FM-based system but needs education on the benefits of primary health care. Direct access to the specialist would be the greatest barrier. Government involvements are essential for the reform. © The Author 2010. Published by Oxford University Press. All rights reserved.en_HK
dc.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/en_HK
dc.relation.ispartofFamily Practiceen_HK
dc.subjectFamily practiceen_HK
dc.subjectFocus groupen_HK
dc.subjectHealth care systemen_HK
dc.subjectHealth policyen_HK
dc.subjectPublic opinionen_HK
dc.titleIntroducing family medicine in a pluralistic health care system: How patients and doctors see iten_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0263-2136&volume=28&issue=1&spage=49&epage=55&date=2011&atitle=Introducing+family+medicine+in+a+pluralistic+health+care+system:+how+patients+and+doctors+see+it-
dc.identifier.emailLam, TP: tplam@hku.hken_HK
dc.identifier.emailLam, KF: hrntlkf@hkucc.hku.hken_HK
dc.identifier.authorityLam, TP=rp00386en_HK
dc.identifier.authorityLam, KF=rp00718en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1093/fampra/cmq064en_HK
dc.identifier.pmid20696753-
dc.identifier.scopuseid_2-s2.0-79251497685en_HK
dc.identifier.hkuros185865en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79251497685&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume28en_HK
dc.identifier.issue1en_HK
dc.identifier.spage49en_HK
dc.identifier.epage55en_HK
dc.identifier.eissn1460-2229-
dc.identifier.isiWOS:000286467200008-
dc.publisher.placeUnited Kingdomen_HK
dc.relation.projectIs there a need to promote family medicine concept in Hong Kong? - Meeting the need for recognition and treatment of depression as a model-
dc.identifier.scopusauthoridWun, YT=6701795798en_HK
dc.identifier.scopusauthoridLam, TP=55232643600en_HK
dc.identifier.scopusauthoridLam, KF=8948421200en_HK
dc.identifier.scopusauthoridGoldberg, D=7401442597en_HK
dc.identifier.scopusauthoridLi, DKT=41561721000en_HK
dc.identifier.scopusauthoridYip, KC=28168097100en_HK
dc.identifier.citeulike8739567-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats