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    93 results match your criteria Asia Pacific Family Medicine [Journal]

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    A systematic review of burnout among doctors in China: a cultural perspective.
    Asia Pac Fam Med 2018 8;17. Epub 2018 Feb 8.
    WONCA World Executive Council, Hong Kong, China.
    Background: Numerous studies around the world has already suggested that burnout among doctors is a global phenomenon. However, studies for burnout in doctors are relatively limited in Chinese communities when compared to the West. As risk factors, barriers to intervention and strategies combatting burnout in different parts of the world can vary a lot due to different social culture and healthcare system, study with a focus at doctors in China from a cultural perspective is a worthful endeavor. Read More

    What determines medical students' career preference for general practice residency training?: a multicenter survey in Japan.
    Asia Pac Fam Med 2018 27;17. Epub 2018 Jan 27.
    7International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.
    Background: Few studies have systematically explored factors affecting medical students' general practice career choice. We conducted a nationwide multicenter survey (Japan MEdical Career of Students: JMECS) to examine factors associated with students' general practice career aspirations in Japan, where it has been decided that general practice will be officially acknowledged as a new discipline.

    Methods: From April to December 2015, we distributed a 21-item questionnaire to final year medical students in 17 medical schools. Read More

    Exploration of the administrative aspects of the delivery of home health care services: a qualitative study.
    Asia Pac Fam Med 2018 24;17. Epub 2018 Jan 24.
    Department of Home-based Palliative Care, ALA cancer prevention and control of charity center (MACSA), Tehran, Iran.
    Background: Because of the variety of services and resources offered in the delivery of home health care, its management is a challenging and difficult task.

    Objectives: The purpose of this study was to explore the administrative aspects of the delivery of home health care services.

    Methods: This qualitative study was conducted based on the traditional content analysis approach in 2015 in Iran. Read More

    Cancer-related post-treatment pain and its impact on health-related quality of life in breast cancer patients: a cross sectional study in Palestine.
    Asia Pac Fam Med 2017 21;16. Epub 2017 Nov 21.
    Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839 Palestine.
    Background: Post-treatment pain has been suggested as an important indicator for health-related quality of life (HRQOL) in patients with breast cancer. Therefore, this study was performed to examine the association between pain and its impact on HRQOL among breast cancer patients in Palestine. Also, this study aimed to determine the QOL profile for breast cancer patients and stated the factors associated with QOL. Read More

    Knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Pakistan.
    Asia Pac Fam Med 2017 18;16. Epub 2017 Sep 18.
    The Lyceum School, Karachi, Pakistan.
    Background: Osteoporosis is a growing health problem around the world. The increasing incidence of osteoporotic fractures coupled with the lack of knowledge about the disease in the general community means that the disease is continuously increasing the burden on health sector and the general population. The purpose of the study is to assess knowledge, attitudes and practices about osteoporosis among female medical school entrants in Karachi. Read More

    Patients' willingness to pay for their drugs in primary care clinics in an urbanized setting in Malaysia: a guide on drug charges implementation.
    Asia Pac Fam Med 2017 4;16. Epub 2017 Apr 4.
    Health District Office, Sepang, Malaysia.
    Background: Malaysia is an upper middle income country that provides subsidized healthcare to ensure universal coverage to its citizens. The challenge of escalating health care cost occurs in most countries, including Malaysia due to increase in disease prevalence, which induced an escalation in drug expenditure. In 2009, the Ministry of Health has allocated up to Malaysian Ringgit (MYR) 1. Read More

    Patients' experience of using primary care services in the context of Indonesian universal health coverage reforms.
    Asia Pac Fam Med 2017 21;16. Epub 2017 Mar 21.
    Department of General Practice and Primary Health Care, University of Melbourne, Melbourne, Australia.
    Background: The World Health Organization (WHO) recommendation on universal coverage has been implemented in Indonesia as(JKN). It was designed to provide people with equitable and high-quality health care by strengthening primary care as the gate-keeper to hospitals. However, during its first year of implementation, recruitment of JKN members was slow, and the referral rates from primary to secondary care remained high. Read More

    Primary care patient experience and cancer screening uptake among women: an exploratory cross-sectional study in a Japanese population.
    Asia Pac Fam Med 2017 7;16. Epub 2017 Feb 7.
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 USA.
    Background: Patient experience and clinical quality, which are represented by preventive care measures such as cancer screening, are both widely used for the evaluation of primary care quality. The aim of this study was to examine the association between patient experience and cancer screening uptake among women in a Japanese population.

    Methods: We conducted a cross-sectional mail survey. Read More

    Utility of self-competency ratings during residency training in family medicine education-emerging countries: findings from Japan.
    Asia Pac Fam Med 2017 10;16. Epub 2017 Jan 10.
    Shizuoka Family Medicine Training Program, Shizuoka, Japan ; Department of Family and Community Medicine, Hamamatsu University, Hamamatsu, Japan.
    Background: Family medicine education-emerging countries face challenges in demonstrating a new program's ability to train residents in womb-to-tomb care and resident ability to provide such care competently. We illustrate the experience of a new Japanese family medicine program with resident self-competency assessments.

    Methods: In this longitudinal cross-sectional study, residents completed self-competency assessment surveys online during 2011-2015. Read More

    Family characteristics and the use of maternal health services: a population-based survey in Eastern China.
    Asia Pac Fam Med 2016 22;15. Epub 2016 Oct 22.
    Public Health School, Tongji Medical College, Huazhong University of Science and Technology, Hangkong Road 13, Wuhan, Hubei China.
    Background And Objectives: Despite the benefits of maternal health services, these services are often underutilized, especially in the developing countries. The aim of the present study is to provide insight regarding factors affecting maternal health services use from the family perspective.

    Methods: We use data from the fourth National Health Services Survey in Jiangsu province of Eastern China to investigate the effect of family characteristics on the use of maternal health services. Read More

    Low carbohydrate diet-based intervention for obstructive sleep apnea and primary hypothyroidism in an obese Japanese man.
    Asia Pac Fam Med 2016 5;15. Epub 2016 Aug 5.
    Tokuchi Naika Clinic, 3-6, Iwamizawa, Hokkaido 068-0023 Japan.
    Background: Obesity is a major risk factor for obstructive sleep apnea (OSA), and weight loss is necessary in the overall management of obese patients with OSA. However, primary care physicians can provide only limited weight loss with lifestyle interventions, usually reducing a patient's body weight by only 2.5 kg or less after 6-18 months. Read More

    The most important question in family approach: the potential of the resolve item of the family APGAR in family medicine.
    Asia Pac Fam Med 2016 5;15. Epub 2016 May 5.
    Department of General Medicine/Family & Community Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
    Background: We aimed to clarify what aspects of family function are measured by the Family APGAR by examining its correlations with the fourth edition of the Family Adaptability and Cohesion Evaluation Scale at Kwansei Gakuin (FACESKG IV). Furthermore, we sought to confirm the usefulness of the Family APGAR in general practice.

    Methods: We recruited 250 patients (aged 13-76 years) from the general medicine outpatient clinic in a Japanese hospital between July 1999 and February 2000. Read More

    Which medical interview skills are associated with patients' verbal indications of undisclosed feelings of anxiety and depressive feelings?
    Asia Pac Fam Med 2016 28;15. Epub 2016 Feb 28.
    Department of Education and Research in Family and Community Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan ; Department of Family Medicine, Mie University School of Medicine and Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan.
    Background: In medical practice, obtaining information regarding patients' undisclosed "feelings of anxiety" or "depressive feelings" is important. The purpose of this study was to determine which interview skills are best suited for eliciting verbal indications of undisclosed feelings, for example anxiety or depressive feelings in patients.

    Methods: Our group videotaped 159 medical interviews at an outpatient department of the Department of Family Medicine, Mie University Hospital (Mie, Japan). Read More

    Factors associated with patient visits to the emergency department for asthma therapy in Pakistan.
    Asia Pac Fam Med 2016 1;15. Epub 2016 Feb 1.
    Department of Biological Sciences, Cedar College, Karachi, Pakistan.
    Background: Acute asthma is a chronic condition affecting people of all ages around the world and hence, is one of the leading causes of emergency department (ED) visits and hospital admissions globally. Most of them are related to poor patient practices and a weak healthcare system. The aim of our study was to assess the reasons for the increased usage of the ED by asthmatic patients in Pakistan. Read More

    The cultural context of teaching and learning sexual health care examinations in Japan: a mixed methods case study assessing the use of standardized patient instructors among Japanese family physician trainees of the Shizuoka Family Medicine Program.
    Asia Pac Fam Med 2015 7;14. Epub 2015 Oct 7.
    Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, MI 48104-1213 USA.
    Background: In contrast to many western nations where family medicine is a cornerstone of the primary care workforce, in Japan the specialty is still developing. A number of services within the bailiwick of family medicine have yet to be fully incorporated into Japanese family medicine training programs, especially those associated with sexual health. This gap constitutes a lost opportunity for addressing sexual health-related conditions, including cancer prevention, diagnosis, and treatment. Read More

    A pilot study to assess the utility and perceived effectiveness of a tool for diagnosing feeding difficulties in children.
    Asia Pac Fam Med 2015 31;14(1). Epub 2015 Jul 31.
    Scientific and Medical Affairs, Abbott Nutrition International India, Mumbai, India.
    Background: Food dislikes in children may result in avoiding particular food/s with major sources of essential nutrients leading to increased risk of impaired growth or cognitive development and compromised immune function. It is necessary to identify conditions contributing to feeding difficulty and associated complications. An instrument was designed to assist diagnosis and management of children with feeding difficulties. Read More

    Describing the factors that influence the process of making a shared-agenda in Japanese family physician consultations: a qualitative study.
    Asia Pac Fam Med 2015 5;14(1). Epub 2015 Jun 5.
    Kikugawa municipal Family Medicine Center, 1055-1 Akatsuti, Kikugawa, Shizuoka 439-1507 Japan.
    Background: Patients cannot always share all necessary relevant information with doctors during medical consultations. Regardless, in order to ensure the best quality consultation and care, it is imperative that a doctor clearly understands each patient's agenda. The purpose of this study was to analyze the process of developing a shared-agenda during family physician consultations in Japan. Read More

    Interventions for body weight reduction in obese patients during short consultations: an open-label randomized controlled trial in the Japanese primary care setting.
    Asia Pac Fam Med 2015 21;14(1). Epub 2015 May 21.
    Department of Community and Family Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City, Fukushima Prefecture Japan.
    Background: Family physicians should maintain regular contact with obese patients to ensure they effectively reduce their body weight. However, family physicians in Japan have on average only 6 (min) per consultation, and conventional interventions for body weight reduction require a longer consultation or additional manpower. A brief intervention within the limited consultation time available is therefore needed. Read More

    Impact of chronic obstructive pulmonary disease (COPD) in the Asia-Pacific region: the EPIC Asia population-based survey.
    Asia Pac Fam Med 2015 23;14(1). Epub 2015 Apr 23.
    Division of Pulmonary and Critical Care Medicine, Philippine Heart Center, Quezon City, Philippines.
    Background: Chronic obstructive pulmonary disease (COPD) is a clinical syndrome encompassing a group of chronic, progressive, and debilitating respiratory conditions, that are characterized by incompletely reversible airflow limitation. Within the Asia-Pacific region, prevalence estimates have been derived using various protocols and study methods, and there is little data on the impact of COPD exacerbations. This study aimed to provide a comprehensive picture of the current prevalence and burden of COPD in this region. Read More

    The impact of an early_exposure program on medical students' interest in and knowledge of rural medical practices: a questionnaire survey.
    Asia Pac Fam Med 2015 14;14(1). Epub 2015 Apr 14.
    Department of Primary Care and Medical Education, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575 Japan.
    Background: Many medical students in Japan were brought up in urban areas, thus rural medical practice is often unfamiliar to them. The University of Tsukuba created a one-day early_exposure program to provide freshman students with experience in rural practices. This study was designed to clarify how this one-day early_exposure program affected medical students' attitudes toward and knowledge of rural practices. Read More

    Perception of hypertension management by patients and doctors in Asia: potential to improve blood pressure control.
    Asia Pac Fam Med 2015 11;14(1). Epub 2015 Feb 11.
    Department of Cardiology and Vascular Medicine, University of Indonesia, Harapan Kita National Cardiovascular Center, Jakarta, Indonesia.
    Background: Hypertension is one of the world's most common health conditions and is a leading risk factor for mortality. Although blood pressure can be modified, there is a large proportion of patients whose blood pressure remains uncontrolled. The aim of this study, termed Edvantage 360°, was to gain a deeper understanding of hypertension management in Asia from the perspective of patients and doctors, and to propose strategies to improve blood pressure control. Read More

    Evaluation of attitude to, knowledge of and barriers toward research among medical science students.
    Asia Pac Fam Med 2015 11;14(1). Epub 2015 Feb 11.
    Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
    Background: Plans to increase the role of students in health research require data on students' knowledge and views of research. The aim of the study was to evaluate these factors toward research among medical science students.

    Methods: Undergraduate and postgraduate students of three medicine, dentistry and pharmacy schools in Shiraz were enrolled in a cross-sectional descriptive study using questionnaires to provide details of the parameters of attitude to, knowledge of and barriers toward research for each individual. Read More

    Developing a primary care research agenda through collaborative efforts - a proposed "6E" model.
    Asia Pac Fam Med 2014 20;13(1):17. Epub 2014 Dec 20.
    Division of Family Medicine, National University Hospital System, NUHS Tower Block, 1E, Kent Ridge Road, Level 9, Singapore, 119 228 Singapore.
    Background: Primary care research is at a crossroad in South Pacific. A steering committee comprising a member of WONCA Asia Pacific Regional (APR) council and the President of Fiji College of General Practitioners garnered sponsorship from Fiji Ministry of Health, WONCA APR and pharmaceutical agencies to organize the event in October 2013. This paper describes the processes needed to set up a national primary research agenda through the collaborative efforts of local stakeholders and external facilitators using a test case in South Pacific. Read More

    Indonesian primary care physicians profile in 2011: Did practicing hours and conversion program for family medicine differentiate their services and continuing medical education activities?
    Asia Pac Fam Med 2014 20;13(1):16. Epub 2014 Dec 20.
    Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jl. Pegangsaan Timur 16, Jakarta, 10430 Indonesia.
    Background: In Indonesia, Family Medicine as a discipline is being developed through short courses since 12 years ago. A conversion program to become Family Physicians has been introduced recently. Among the 70,000 primary care physicians there are variety of practitioners, from new interns who start general practice to senior general practitioners. Read More

    A descriptive study of knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Sri Lanka.
    Asia Pac Fam Med 2014 20;13(1):15. Epub 2014 Dec 20.
    Provincial Directorate of Health Services, R H Gunawardhana Mawatha, Badulla, Uva Province Sri Lanka.
    Background: Osteoporosis is a significant problem in rapidly ageing populations in Asian regions. It causes a significant personal and societal impact and increases the burden on health care services.

    Objectives: Aim of this study is to determine the knowledge, beliefs and practices regarding osteoporosis among young females entering medical schools in Sri Lanka. Read More

    A cross-sectional study of the differences in diabetes knowledge, attitudes, perceptions and self-care practices as related to assessment of chronic illness care among people with diabetes consulting in a family physician-led hospital-based first line health service and local government health unit-based health centers in the Philippines.
    Asia Pac Fam Med 2014 16;13(1):14. Epub 2014 Dec 16.
    Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
    Background: The purpose of this study was to investigate differences in diabetes knowledge, attitudes and perceptions (KAP), self-care practices as related to assessment of chronic illness care among people with diabetes consulting in a family physician-led tertiary hospital-based out-patient clinic versus local government health unit-based health centers in the Philippines.

    Methods: People with diabetes consulting in the said primary care services were interviewed making use of questionnaires adapted from previously tested and validated KAP questionnaires and the patients' assessment of chronic illness care (PACIC) questionnaire. Adherence to medications, diabetes diet, and exercise and the number of diabetes consultations were asked. Read More

    Traditional Birth Attendance (TBA) in a health system: what are the roles, benefits and challenges: A case study of incorporated TBA in Timor-Leste.
    Asia Pac Fam Med 2014 26;13(1):12. Epub 2014 Nov 26.
    School of Public Health, Georgia State University, Atlanta, 30303 Georgia.
    Background: One current strategy to overcome the issue of shortage of qualified health workers has focused on the use of community health workers in the developing countries to deliver health care services specifically to the most vulnerable communities in the rural areas. Timor-Leste is the one of the world's newest developing countries that has incorporated the traditional birth attendance in its health system through a family health promoter initiative in response to reproductive and child health, hence to improve primary health care delivery and increase number of healthcare workforce.

    Methods: The study utilized a non-systematic review of the literature using key words such as community health workers, traditional birth attendants, reproductive health, child health and health outcomes. Read More

    A community-based intervention in middle schools to improve HPV vaccination and cervical cancer screening in Japan.
    Asia Pac Fam Med 2014 18;13(1):13. Epub 2014 Nov 18.
    Department of Family Medicine, University of Michigan, Ann Arbor, Michigan USA.
    Aim: Japan has low rates of cervical cancer screening and Human papilloma virus (HPV) vaccination. This research examines the effectiveness of a family medicine resident-led, intervention in increasing knowledge about HPV and cervical cancer in middle school-girls and increasing knowledge and intention to have cervical cancer screening in their mothers.

    Methods: We utilized a pre-test/post-test intervention design in three rural middle schools with 7(th) grade middle school-girls and their mothers. Read More

    Factors associated to the career choice of family medicine among Japanese physicians: the dawn of a new era.
    Asia Pac Fam Med 2014 3;13:11. Epub 2014 Oct 3.
    International Research Center for Medical Education, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.
    Background: Despite recent developments in post-graduate family medicine training in Japan, the numbers of junior doctors entering family medicine residencies are still limited. The objective of this qualitative study was to investigate the possible factors associated to the career choice of family medicine, especially in the context of the newly established family medicine programs in Japan.

    Methods: From December 2010 to January 2011, we distributed a semi-structured questionnaire about career choice to 58 physician members of the Japan Primary Care Association, and 41 of them responded. Read More

    Primary healthcare system and practice characteristics in Singapore.
    Asia Pac Fam Med 2014 19;13(1). Epub 2014 Jul 19.
    Saw Swee Hock School of Public Health, National University of Singapore, MD3, 16 Medical Drive, Singapore 117597, Singapore ; Scientific Centre for Care and Welfare (Tranzo), Tilburg University, Tilburg, The Netherlands.
    It is crucial to adapt and improve the (primary) health care systems of countries to prepare for future patient profiles and their related needs. The main aim of this study was to acquire a comprehensive overview of the perceptions of primary care experts in Singapore about the state of primary care in Singapore, and to compare this with the state of primary care in other countries. Notwithstanding ranked 2(nd) in terms of efficiency of health care, Singapore is facing significant health care challenges. Read More

    What primary care physician teachers need to sustain community based education in Japan.
    Asia Pac Fam Med 2014 28;13(1). Epub 2014 Apr 28.
    Hokkaido University, Sapporo, Japan.
    Background: Community based education (CBE), defined as "a means of achieving educational relevance to community needs and, consequently, of implementing a community oriented educational program," is reported to be useful for producing rural physicians in Western countries. However, why some physicians withdraw from their teaching roles is not well known, especially in Asian countries. The aim of this study was to clarify the requisites and obstacles for taking part in CBE. Read More

    Implementing what works: a case study of integrated primary health care revitalisation in Timor-Leste.
    Asia Pac Fam Med 2014 Feb 24;13(1). Epub 2014 Feb 24.
    Sydney School of Public Health, University of Sydney, Room 321b, Edward Ford Building (A27), Sydney, NSW 2006, Australia.
    Background: Revitalising primary health care (PHC) and the need to reach MDG targets requires developing countries to adapt current evidence about effective health systems to their local context. Timor-Leste in one of the world's newest developing nations, with high maternal and child mortality rates, malaria, TB and malnutrition. Mountainous terrain and lack of transport pose serious challenges for accessing health services and implementing preventive health strategies. Read More

    Varicella encephalitis and pneumonia in a patient with end stage renal failure.
    Asia Pac Fam Med 2014 Feb 21;13(1). Epub 2014 Feb 21.
    Department of Family Medicine and Continuing Care, Singapore General Hospital, Bowyer Block A, Level 2, 169608 Outram Road, Singapore.
    We describe a patient with end stage renal failure (ESRF) on hemodialysis who was admitted to our department for primary varicella infection complicated by varicella pneumonia and encephalitis. Varicella infections results in serious morbidity and mortality in ESRF dialysis and transplant patients. Evidence published thus far suggests that live attenuated varicella vaccines are effective and safe in ESRF and renal transplant patients. Read More

    Assessing physical activity in daily life, exercise, and sedentary behavior among Japanese moving to westernized environment: a cross-sectional study of Japanese migrants at an urban primary care center in Pittsburgh.
    Asia Pac Fam Med 2014 Jan 14;13(1). Epub 2014 Jan 14.
    Department of General Medicine, Japan National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, Japan.
    Background: Noncommunicable chronic diseases (NCDs) are global public health issues. Physical activity, exercise and sedentary behavior are important lifestyle factors to determine risk of NCDs. Immigrant studies have shown higher risk of developing NCDs among immigrants. Read More

    Importance of physicians' attire: factors influencing the impression it makes on patients, a cross-sectional study.
    Asia Pac Fam Med 2014 Jan 8;13(1). Epub 2014 Jan 8.
    Department of General Medicine and Primary Care, University of Tsukuba Hospital, Amakubo 2-1-1, Tsukuba City, Ibaraki Prefecture 305-0005, Japan.
    Objective: The aim of the present study was to determine the importance of physician attire in inspiring confidence in patients, patient preferences and factors influencing the impression made by the clothing worn by doctors.

    Methods: Self-administered questionnaires were distributed and completed in five pharmacies across Japan (April-October 2012) to patients or their carers (aged ≥20 years). The survey was performed over 2 consecutive days in each pharmacy. Read More

    Need to teach family medicine concepts even before establishing such practice in a country.
    Asia Pac Fam Med 2014 Jan 8;13(1). Epub 2014 Jan 8.
    Department of Pediatrics, Faculty of Medicine University of Peradeniya, Peradeniya, Sri Lanka.
    Background: The practice of family medicine is not well established in many developing countries including Sri Lanka. The Sri Lankan Government funds and runs the health facilities which cater to the health needs of a majority of the population. Services of a first contact doctor delivered by full time, vocationally trained, Family Physicians is generally overshadowed by outpatient departments of the government hospitals and after hours private practice by the government sector doctors and specialists. Read More

    Restructuring the Ikeda City school urinary screening system: report of a screening survey.
    Asia Pac Fam Med 2013 Dec 13;12(1). Epub 2013 Dec 13.
    Department of Nephrology, Ikeda City Hospital, Ikeda, Osaka, Japan.
    Background: Annual urinary screening is conducted at municipal kindergartens, elementary schools, and junior high schools in Ikeda City, Osaka, Japan (Ikeda City School System), and the results are reviewed by a general physician, but standards for when to recommend specialist referral have not been clear.

    Methods: In all children attending the Ikeda City School System in 2012, dipstick urinalysis of a first-morning urine specimen was recommended once or twice, and if a second urinalysis showed proteinuria (≥1+), the urinary protein/creatinine ratio was measured. If this showed ≥0. Read More

    Factors associated with facility-based delivery in Mayoyao, Ifugao Province, Philippines.
    Asia Pac Fam Med 2013 Oct 24;12(1). Epub 2013 Oct 24.
    Graduate School of International Health Development, Nagasaki University, 1-12-4, Sakamoto, Nagasaki 852-8523, Japan.
    Background: The maternal mortality ratio (MMR) in the Philippines is higher than in most other Southeast Asian countries, and home delivery is a major factor contributing to the high MMR. This study aims to explore the determinants for choice of delivery location in Ifugao Province, where people have poor access to health services.

    Findings: A household interview survey using a structured questionnaire was conducted to identify the factors associated with delivery location among 354 women. Read More

    Research consultation clinic: impetus towards facilitating primary care research.
    Asia Pac Fam Med 2013 Sep 16;12(1). Epub 2013 Sep 16.
    Research Department, SingHealth Polyclinics Head Office, 167 Jalan Bukit Merah, Connection One, Tower 5, #15-10, Singapore 150167, Singapore.
    Background: In Singapore, SingHealth Polyclinics (SHP) is an accredited Family Medicine (FM) training centre which managed 1.8 million primary care patient-visits in 2012. To promote research in the institution, research consultation clinics (RCC) are being introduced in 2010 to enable free face-to-face consultation between experienced and novice researchers on specific research topics. Read More

    Alberta family physicians' willingness to work during an influenza pandemic: a cross-sectional study.
    Asia Pac Fam Med 2013 Jun 26;12(1). Epub 2013 Jun 26.
    Department of Family Medicine, Research Office, G012, Health Sciences Centre, 3330 Hospital Drive NW, Calgary Alberta T2N 4N1, Canada.
    Objective: Effective pandemic responses rely on frontline healthcare workers continuing to work despite increased risk to themselves. Our objective was to investigate Alberta family physicians willingness to work during an influenza pandemic.

    Design: Cross-sectional survey. Read More

    Use of insecticide treated net and malaria preventive education: effect on malaria parasitemia among people living with AIDS in Nigeria, a cross-sectional study.
    Asia Pac Fam Med 2013 22;12(1). Epub 2013 Jun 22.
    Antiretroviral clinic, State hospital, Osogbo, Osun state, Nigeria.
    Background: Malaria and HIV are major causes of morbidity and mortality in sub-Saharan Africa with both diseases highly endemic in Nigeria. This study was conducted to assess the effect of long lasting insecticide treated net (ITN) use and malaria preventive education on burden of malaria parasite among people living with AIDS (PLWHA) at Osogbo southwestern Nigeria.

    Method: A descriptive cross-sectional study of newly recruited consenting PLWHA that were screened consecutively for malaria, those positive were treated with artemisinin combination therapy. Read More

    Women's impressions of their inpatient birth care as provided by family physicians in the Shizuoka Family Medicine Training Program in Japan.
    Asia Pac Fam Med 2013 May 22;12(1). Epub 2013 May 22.
    Shizuoka Family Medicine Training Program, Kikugawa Family Medicine Center, 1055-1 Akatsuchi, Kikugawa, Shizuoka 437-1507, Japan.
    Background: Even though Japan faces serious challenges in women's health care such as a rapidly aging population, attrition of obstetrical providers, and a harsh legal climate, few family medicine residency training programs in Japan include training in obstetrics, and the literature lacks research on women's views of intra-partum pregnancy care by family physicians.

    Findings: In this exploratory study, we conducted semi-structured qualitative interviews with five women who received their admission, intrapartum, delivery and discharge care from family medicine residents in the obstetrics ward of a community training hospital. Four women had vaginal births, and one had a Cesarean section. Read More

    Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients.
    Asia Pac Fam Med 2012 Nov 27;11(1). Epub 2012 Nov 27.
    Department of Family Medicine, International Medical University, Jalan Rasah, Seremban, Negeri Sembilan, 70300, Malaysia.

    Background: Insomnia is a common public health problem and the prevalence and impact of insomnia in primary care attendees is not well documented in the Asian population.

    Objectives: To determine the prevalence of self-reported insomnia symptoms amongst adult primary care attendees and the association with socio-demographic factors; to ascertain the impact of insomnia on daily functioning and to describe the psychological profile of patients with insomnia.

    Methods: In this cross-sectional survey, 2049 adult patients (≥18 year old) attending seven primary care clinics in Peninsular Malaysia, completed the questionnaire asking about symptoms of insomnia (defined according to the International Classification of Sleep Disorders and DSM IV criteria) daytime impairment and psychological symptoms (assessed by Hospital Anxiety and Depression Scale). Read More

    Self-medication behaviors among Japanese consumers: sex, age, and SES differences and caregivers' attitudes toward their children's health management.
    Asia Pac Fam Med 2012 Sep 11;11(1). Epub 2012 Sep 11.
    Department of Design Science, Graduate School of Engineering, Chiba University, 1-33 Yayoi-cho, Inage-ku, Chiba-shi, Chiba, 263-8522, Japan.

    Background: Since 2009, when the revised Pharmaceutical Affairs Act was enacted in Japan, self-medication practices have increased. Because the concept of self-medication was recently introduced in Japan, few studies exist on this topic. Therefore, it is necessary to explore how self-medication is practiced. Read More

    General Practitioners' responses to global climate change - lessons from clinical experience and the clinical method.
    Asia Pac Fam Med 2012 Aug 8;11(1). Epub 2012 Aug 8.
    Nossal Institute for Global Health & The Melbourne Sustainable Society Institute, The University of Melbourne, 161 Barry St, Carlton, Melbourne, 3010, Australia.
    Background: Climate change is a global public health problem that will require complex thinking if meaningful and effective solutions are to be achieved. In this conceptual paper we argue that GPs have much to bring to the issue of climate change from their wide-ranging clinical experience and from the principles underpinning their clinical methods. This experience and thinking calls forth particular contributions GPs can and should make to debate and action. Read More

    Perception of picky eating among children in Singapore and its impact on caregivers: a questionnaire survey.
    Asia Pac Fam Med 2012 Jul 20;11(1). Epub 2012 Jul 20.
    Department of Paediatrics, Head & Senior Consultant, Division of Paediatric Pulmonary & Sleep, University Children's Medical Institute, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore.
    Background: Picky eating is relatively common among infants and children, often causing anxiety for parents and caregivers. The purpose of this study was to determine the key aspects of picky eating and feeding difficulties among children aged 1 to 10 years in Singapore and the impact on their parents or caregivers.

    Methods: In this survey, 407 parents or grandparents who are the primary caregivers of children aged 1 to 10 years in Singapore were interviewed via telephone using a structured questionnaire of 36 questions. Read More

    Reporting new cases of anaemia in primary care settings in Crete, Greece: a rural practice study.
    Asia Pac Fam Med 2012 Apr 25;11. Epub 2012 Apr 25.
    Research-based network of General Practice in Crete, Heraklion, Greece.
    Background: Early diagnosis of anaemia represents an important task within primary care settings. This study reports on the frequency of new cases of anaemia among patients attending rural primary care settings in Crete (Greece) and to offer an estimate of iron deficiency anaemia (IDA) frequency in this study group.

    Methods: All patients attending the rural primary health care units of twelve general practitioners (GPs) on the island of Crete for ten consecutive working days were eligible to participate in this study. Read More

    Clinical audit of health promotion of vitamin D in one general practice.
    Asia Pac Fam Med 2012 Apr 2;11. Epub 2012 Apr 2.
    Academic Unit of General Practice in the School of General Practice, Rural and Indigenous Health, at the Australian National University Medical School, PO Box 11 Woden, ACT 2606 Canberra, Australia.
    Background: The clinical audit of vitamin D health promotion in one Australian general practice was undertaken by measuring health service use and serum 25-hydroxyvitamin D levels in 995 patients aged 45 to 49 years.

    Findings: Over 3 years, 486 (51%) patients had a Medicare funded Health Assessment. More women (54%) were assessed than men (46%) p = 0. Read More

    The effectiveness of face to face education using catharsis education action (CEA) method in improving the adherence of private general practitioners to national guideline on management of tuberculosis in Bandung, Indonesia.
    Asia Pac Fam Med 2012 Mar 27;11. Epub 2012 Mar 27.
    Public Health Department, Faculty of Medicine, Universitas Padjadjaran Bandung Indonesia.
    Background: In many countries, private general practitioners are the first contact in health services for people with symptoms of tuberculosis. Targeting the private sector has been recommended in previous studies to improve tuberculosis control. A brief face-to-face intervention using Catharsis Education Action (CEA) method, repeated at periodic intervals, seems to change physicians' attitudes, beliefs and practice. Read More

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