OBJECTIVE: To explore how primary care physicians respond to a community's needs and challenges. DESIGN: Qualitative study using focus groups. SETTING: Fee-for-service practices or community health centres in downtown Toronto, Ont. PARTICIPANTS: Purposive sample of 21 community family physicians (10 women and 11 men). METHOD: Participants were invited to join focus groups of four to six physicians. Themes were derived from qualitative analysis of the data using grounded theory. MAIN FINDINGS: Three major themes were identified by these community-responsive physicians: they carry out specific roles (collaborator, health educator, advocate, resource, and tailor of care); they face several challenges, including lack of funding and a dysfunctional health care system; and they share common beliefs about practising medicine. Whether current health care structures support physicians to actually carry out these roles in practice, however, is unclear. CONCLUSION: This study increased understanding of how primary care physicians respond to community needs and what they experience in the process.
OBJECTIVE: To explore how primary care physicians respond to a community's needs and challenges. DESIGN: Qualitative study using focus groups. SETTING: Fee-for-service practices or community health centres in downtown Toronto, Ont. PARTICIPANTS: Purposive sample of 21 community family physicians (10 women and 11 men). METHOD:Participants were invited to join focus groups of four to six physicians. Themes were derived from qualitative analysis of the data using grounded theory. MAIN FINDINGS: Three major themes were identified by these community-responsive physicians: they carry out specific roles (collaborator, health educator, advocate, resource, and tailor of care); they face several challenges, including lack of funding and a dysfunctional health care system; and they share common beliefs about practising medicine. Whether current health care structures support physicians to actually carry out these roles in practice, however, is unclear. CONCLUSION: This study increased understanding of how primary care physicians respond to community needs and what they experience in the process.
Authors: V R Neufeld; R F Maudsley; R J Pickering; J M Turnbull; W W Weston; M G Brown; J C Simpson Journal: Acad Med Date: 1998-11 Impact factor: 6.893
Authors: Moira Stewart; John F Sangster; Bridget L Ryan; Jeffrey S Hoch; Irene Cohen; Carol L McWilliam; Joan Mitchell; Evelyn Vingilis; Christine Tyrrell; Ian R McWhinney Journal: Can Fam Physician Date: 2010-11 Impact factor: 3.275
Authors: Margaret Steele; Richard Zayed; Brenda Davidson; Neal Stretch; Lucie Nadeau; William Fleisher; Tamison Doey; Helen R Spenser; Sabina Abidi; Geneviève Auclair; Terrence S Callanan; Don Duncan; Gisele Ferguson; Roberta Flynn; Lindsay Hope-Ross; Sarosh Khalid-Khan; Lorraine Lazier; Vitaly Liashko; Harold Lipton; Lara Postl; Kimberly St John Journal: J Can Acad Child Adolesc Psychiatry Date: 2012-05