In The Name of God

1. In The Name of God

2. Family practice

3. Family Medicine (Important and It’s Future) R.Askari Ph.D. Student in Health Services Management Email: r.asqari@yahoo.com

4. Your Future is Family Medicine Information, facts and answers to frequently asked questions about family medicine

5. Why is primary care important? • longer life spans and fewer deaths due to heart and lung disease • fewer cases and deaths due to colon and cervical cancer • better detection of breast cancer • less hospital use • better preventive care • reduced health disparities

6. What do family physicians do? Family physicians provide comprehensive and continuous primary care health care to: • individuals and families • women and men regardless of age or disease • infants, children and adolescents regardless of disease

7. Family physicians provide • Prevention & management of acute injuries and illnesses • Health promotion • Hospital care for acute medical illnesses • Chronic disease management • Maternity care • Well-child care and child development • Primary mental health care • Rehabilitation • Supportive and end-of-life care

8. What FP attributes are valued? • Deep understanding of the whole person • Act as a partner to patients over many years • Talent for humanizing health care • A command of complexity Source: Martin JC, Avant RF, Bowman MA, et al. The Future of Family Medicine: A collaborative project of the family medicine community. Ann Fam Med. 2004 Mar-Apri; 2 Suppl 1:53-32

9. Family physicians’ whole-person orientation and training ensures that FPs… • Consider all of the influences on a person’s health • Know and understand peoples’ limitations, problems and personal beliefs when deciding on a treatment • Are appropriate and efficient in proposing therapies and interventions • Develop rewarding relationships with patients

10. Family physicians have a unique influence on patients’ lives • Serving as partner with patients to maintain well-being over time • Empowering with information and guidance that are needed to maintain health over time • Providing care that includes long-term behavioral change interventions that lead to better health • Developing ongoing communication between patient and physician

11. Family physicians are relationship-oriented, which ensures… • Good relationships with other physicians and health care providers. • Better patient understanding of complex medical issues and improved participation in the care process. • Less expensive and better healthcare experience for patient.

12. Family physicians have a natural command of complexity and • Thrive on managing complex medical problems • Integrate all of the medical and personal issues facing an individual • Break down medical terms and complex medical issues to make it easier for patients to understand

13. How are family physicians trained? • 3 years • More than 400 family medicine residencies • Community-based • Medical school-based • Military • Inner-city • Urban • Suburban • Rural • Innovative Training Models

14. Family medicine residencyclinical curriculum

15. What are the primary care specialties? Source: DA, Cherry DK. National Ambulatory Medical Care Survey: 2005 Summary. Advance Data from Vital and Health Statistics; No. 346, Hyattsville, Maryland: National Center for Health Statistics. 2004. http://www.cdc.gov/nchs/about/major/ahcd/officevisitcharts.htm.

16. What distinguishes family physicians from general internists? Ages and gender of patients seen by family physicians and general internists Source: National Center for Health Statistics: Chart book on Trends in the health of Americans: 2006

17. What’s a typical week in primary care? Source: National Ambulatory Medical Care Survey: 2004 Summary. National Center for Health Statistics

18. People rely on primary care physicians to care for complex disease Source: 2002 National Health Interview Survey

19. What’s a typical week in family medicine? Source: National Ambulatory Medical Care Survey: 2005 Summary. National Center for Health Statistics

20. Lifestyle of Family Physicians? • 39.7 hours per week in direct patient care1 • 50 hours per week in patient related activities • Avg. wks worked – 46.9 weeks 1 • 5 weeks for vacation/CME 1 • Avg. Income for 2006: $161,000 2 1 AAFP Facts About Family Medicine. 2006 http://www.aafp.org/facts.xml 2Merritt Hawkins & Assoc. 2007 Review of Physician and CRNA Recruiting Incentives. Oct 2007.

21. Are family physicians in demand? • The Number One most recruited specialty in 2006 • The primary care specialty most in demand • 35% increase in recruitment of family physicians in 2004 1Merritt Hawkins & Assoc. 2007 Review of Physician and CRNA Recruiting Incentives. Oct 2007 2 Hawkins, J. Encouraging news about family physician recruitment. Family Practice Management. 2005 Apr; 12(4); 56-8.

22. The WHO framework statement • General • Continuous • Comprehensive • Coordinated • Collaborative • Family orientated • Community orientated

23. The principles of the discipline as suggested by Gay • Patient centered approach • Orientation on family and community context • Field of activities determined by patient needs and requests • Unselected and complex health problems • Low incidence of serious diseases • Diseases at early stage • Continuing management • Coordinated care • Efficiency

24. The WONCA 1991 statement includes the following • Comprehensive care • Orientation to the patient • Family focus • Doctor/patient relationship • Co-ordination with other services • Advocacy • Accessibility • resource management.

33. What’s the future of family medicine? • Electronic health record (EHR) • Online appointments • Web-based patient education • E-visits

34. Innovations in family medicine • Group visits • Team approach to care • Systematic approach to care • Chronic disease management

35. Future of family medicine • Market research • Six task forces • Family medicine’s new model of care • Personal medical home • Continuous relationship • Basket of services

36. Thanks for your attention