General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"?
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/100169 https://doi.org/10.1016/j.aprim.2022.102315 |
Resumo: | To study if the consultation's problems classification of a fictitious case by General and Family Medicine doctors, showed the characteristics of being a mechanistic or a systemic approach. Exploratory cross-sectional observational study in a convenience sample of the General Practice/Family Medicine population, internees included, in April 2020, applying a modified real world clinical case. Central Portugal and the Autonomous Region of Azores. General Practice/Family Medicine specialists and internees. Electronic Doctors invitation to participate, anonymously, in specific doctor's social networks. A self-fulfilling questionnaire was used to verify the classification of a clinical case in Subjective, Assessment and Plan (from the SOAP methodology) with the response options of the International Classification of Primary Health Care (ICPC2) in chapters P (Psychological) and Z (Social) possible for this case. "Technicists" doctors, only classifying "P" codes and "Systemics" classifying "P+Z" or only "Z" ICPC2 codes were defined. Differences between genders, work place, being an internee or specialist and being a tutor in specialized formation were studied. A sample of 227 30% (n=68) males, specialists represented 66% (n=149), of whom 49% (n=73) were internee's tutors and 34% (n=78) were internees, was studied. In the Subjective chapter of the SOAP methodology, 44.1% (n=100) were "technicists", for Assessment n=93 (40.8%) were "technicists" and for P chapter classification 56.8% were "technicists". For S, A and P chapters classification there was no significant difference between the considered variables. In this sample General Practice/Family Medicine Portuguese doctors were more "systemic" for the S and A chapters of the SOAP model, And "technicists" in the P chapter. |
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General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"?Doctor patient relationshipFamily medicineGeneral practiceHolismHolismoICPC2Medicina centrada en el pacienteMedicina familiarModelo SOAPPatient centered medicinePráctica generalRelación médico-paciente;SOAP modelTo study if the consultation's problems classification of a fictitious case by General and Family Medicine doctors, showed the characteristics of being a mechanistic or a systemic approach. Exploratory cross-sectional observational study in a convenience sample of the General Practice/Family Medicine population, internees included, in April 2020, applying a modified real world clinical case. Central Portugal and the Autonomous Region of Azores. General Practice/Family Medicine specialists and internees. Electronic Doctors invitation to participate, anonymously, in specific doctor's social networks. A self-fulfilling questionnaire was used to verify the classification of a clinical case in Subjective, Assessment and Plan (from the SOAP methodology) with the response options of the International Classification of Primary Health Care (ICPC2) in chapters P (Psychological) and Z (Social) possible for this case. "Technicists" doctors, only classifying "P" codes and "Systemics" classifying "P+Z" or only "Z" ICPC2 codes were defined. Differences between genders, work place, being an internee or specialist and being a tutor in specialized formation were studied. A sample of 227 30% (n=68) males, specialists represented 66% (n=149), of whom 49% (n=73) were internee's tutors and 34% (n=78) were internees, was studied. In the Subjective chapter of the SOAP methodology, 44.1% (n=100) were "technicists", for Assessment n=93 (40.8%) were "technicists" and for P chapter classification 56.8% were "technicists". For S, A and P chapters classification there was no significant difference between the considered variables. In this sample General Practice/Family Medicine Portuguese doctors were more "systemic" for the S and A chapters of the SOAP model, And "technicists" in the P chapter.Elsevier Espana2022-05-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/100169http://hdl.handle.net/10316/100169https://doi.org/10.1016/j.aprim.2022.102315eng02126567Santiago, Luiz MiguelMendes, ThaisCarvalho, Céliainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-05-20T20:43:35Zoai:estudogeral.uc.pt:10316/100169Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:17:37.196432Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? |
title |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? |
spellingShingle |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? Santiago, Luiz Miguel Doctor patient relationship Family medicine General practice Holism Holismo ICPC2 Medicina centrada en el paciente Medicina familiar Modelo SOAP Patient centered medicine Práctica general Relación médico-paciente; SOAP model |
title_short |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? |
title_full |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? |
title_fullStr |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? |
title_full_unstemmed |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? |
title_sort |
General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"? |
author |
Santiago, Luiz Miguel |
author_facet |
Santiago, Luiz Miguel Mendes, Thais Carvalho, Célia |
author_role |
author |
author2 |
Mendes, Thais Carvalho, Célia |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Santiago, Luiz Miguel Mendes, Thais Carvalho, Célia |
dc.subject.por.fl_str_mv |
Doctor patient relationship Family medicine General practice Holism Holismo ICPC2 Medicina centrada en el paciente Medicina familiar Modelo SOAP Patient centered medicine Práctica general Relación médico-paciente; SOAP model |
topic |
Doctor patient relationship Family medicine General practice Holism Holismo ICPC2 Medicina centrada en el paciente Medicina familiar Modelo SOAP Patient centered medicine Práctica general Relación médico-paciente; SOAP model |
description |
To study if the consultation's problems classification of a fictitious case by General and Family Medicine doctors, showed the characteristics of being a mechanistic or a systemic approach. Exploratory cross-sectional observational study in a convenience sample of the General Practice/Family Medicine population, internees included, in April 2020, applying a modified real world clinical case. Central Portugal and the Autonomous Region of Azores. General Practice/Family Medicine specialists and internees. Electronic Doctors invitation to participate, anonymously, in specific doctor's social networks. A self-fulfilling questionnaire was used to verify the classification of a clinical case in Subjective, Assessment and Plan (from the SOAP methodology) with the response options of the International Classification of Primary Health Care (ICPC2) in chapters P (Psychological) and Z (Social) possible for this case. "Technicists" doctors, only classifying "P" codes and "Systemics" classifying "P+Z" or only "Z" ICPC2 codes were defined. Differences between genders, work place, being an internee or specialist and being a tutor in specialized formation were studied. A sample of 227 30% (n=68) males, specialists represented 66% (n=149), of whom 49% (n=73) were internee's tutors and 34% (n=78) were internees, was studied. In the Subjective chapter of the SOAP methodology, 44.1% (n=100) were "technicists", for Assessment n=93 (40.8%) were "technicists" and for P chapter classification 56.8% were "technicists". For S, A and P chapters classification there was no significant difference between the considered variables. In this sample General Practice/Family Medicine Portuguese doctors were more "systemic" for the S and A chapters of the SOAP model, And "technicists" in the P chapter. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-04 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/100169 http://hdl.handle.net/10316/100169 https://doi.org/10.1016/j.aprim.2022.102315 |
url |
http://hdl.handle.net/10316/100169 https://doi.org/10.1016/j.aprim.2022.102315 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
02126567 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Elsevier Espana |
publisher.none.fl_str_mv |
Elsevier Espana |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134071471734784 |