Suchergebnisse

To promote the range of interventions for building family/general practice (family medicine) research capacity, we describe successful international examples. Such examples of interventions that build research capacity focus on diseases and illness research, as well as process research; monitor the output of research in family/general practice (family medicine); increase the number of family medicine research journals; encourage and enable research skills acquisition (including making it part of professional training); strengthen the academic base; and promote research networks and collaborations. The responsibility for these interventions lies with the government, colleges and academies, and universities. There are exciting and varied methods of building research capacity in family medicine.

"In 1998 the Illinois Legislature passed legislation (P.A. 90-608) that directed the Department of Children and Family Services in consultation with private Child Welfare Agencies to develop and implement a direct child welfare license." ; Title from cover. ; Mode of access: Internet.

SummaryA postal questionnaire was sent to one randomly selected half of the general practitioners on the Sheffield Executive Council list in April 1967 concerning the advice they give about family planning; 90% responded, and of these 78% suggest contraceptive measures on their own initiative. All the respondents either advise patients directly, refer them elsewhere, or both; 93% will on occasion advise the patient themselves, and 73% refer patients to the FPA. Of those who advise directly 92% prescribe the pill; 32 % of the respondents have had training in contraceptive methods. Doctors trained in Ireland were less likely to suggest contraception measures on their own initiative or to prescribe the pill, and more likely to prescribe the safe period than doctors trained elsewhere in the British Isles.

Family doctors have been presented with changes in government policies and incentives in a recent white paper on primary care. Little work has been done, however, to find out how general practitioners respond to such measures. The response of general practitioners to professional and economic incentives was examined in relation to the location of the practice and the characteristics of the practitioners in seven different areas of England. The areas represented urban, rural, affluent, and deprived communities. The overall response rate was 74%, but the response varied among the areas, being poorest (64%) in an inner city area. Practices were subdivided as innovative, traditional, or intermediate, according to whether they employed a nurse and participated in the cost rent scheme and the vocational training scheme. Innovative practices were defined as fulfilling two of these criteria and traditional practices as fulfilling none; the remainder were classed as intermediate. The results showed that these three types of practice had distinct strategies that were related to financial constraints and the local population. Innovative practices had more partners and were often located in rural or affluent suburban areas; traditional practices had fewer partners and were more common in urban and working class areas. Innovative practices seemed to be in the best position to increase their services, and hence their incomes, in response to the recent proposals in the white paper. Practices in areas of developmental difficulty (predominantly urban but not necessarily inner city areas) had been less able to respond to existing incentives and had a smaller margin available for developing their services.

Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock

A new general family of mixed graphs is presented, which generalizes both the pancake graphs and the cycle prefix digraphs. The obtained graphs are vertex transitive and, for some values of the parameters, they constitute the best infinite families with asymptotically optimal (or quasi-optimal) number of vertices for their diameter. ; This research has been partially supported by AGAUR under project 2017SGR1087. This research has also received funding from the European Union's Horizon 2020 research and innovation programme under the Marie Sk lodowska-Curie grant agreement No 734922.

The aim of this study was to compare general practitioners/family doctors in different European countries to assess the psychosocial and work-related factors possibly contributing to burnout. The survey included questions on demographic-, work- and lifestyle-related job satisfaction
(Yaman & Ungan, 2002a; Yayli, Yaman, & Yaman, 2003) and the Maslach Burnout Inventory (Maslach & Jackson, 1986). Surveys were conducted in 13 European countries (Yaman & Soler, 2002b) with a response rate of 33%. The 1,503 respondents (833 males, 55.4%) had an
average age of 45.6 (22–74) years. 44% scored high for emotional exhaustion, 37% for depersonalization, 31% for low personal accomplishment, with 12% scoring high for all three. High burnout in one or more dimensions was best predicted by a multivariate model
including income, intention to change job (yes 1.89, no 0.82), satisfaction (0.58), increasing alcohol consumption (3.93), and use of psychotropic medication (2.08). High burnout in all dimensions was best predicted by a multivariate model including working weekends (1.77), job satisfaction
(0.38), increasing smoking (2.38) and psychotropic medication use (2.23). Burnout seems to be a common problem in European general practitioners and family doctors. Future research is needed to develop models to describe the phenomenon and to identify causative factors and effective intervention
strategies.

This paper looks at the emergence in Russia of a strategy for delivering primary health care which differs radically from the specialist-based system of the former Soviet Union. Drawing on Russian language sources, the paper outlines previous training arrangements, the limited role of 'sector' doctors and the reasons for official endorsement of general practice during the years of perestroika. It reports that the Health Ministry asked all the country's regions to make a gradual transition to general practice in 1992, and that legislation made the choice of family doctor a universal right in 1993. The conclusion refers to factors which are likely to determine whether that right will become a reality.

"In Invisible Generals, Melville shares his quest to rediscover his family's story across five generations, from post-Civil War America to modern day Asia and Europe. In life, the Davises were denied the recognition and compensation they'd earned, but through his journey, Melville uncovers something greater: that dedication and self-sacrifice can move proverbial mountains-even in a world determined to make you invisible. Invisible Generals recounts the lives of a father and his son who always maintained their belief in the American dream. As the inheritor of their legacy, Melville retraces their steps, advocates for them to receive their long-overdue honors and unlocks the potential we all hold to retrieve powerful family stories lost to the past" --