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Strengthening Primary Care Through Family Medicine Around the World Collaborating Toward Promising Practices.
Rouleau, Katherine; Bourget, Monique; Chege, Patrick; Couturier, Francois; Godoy-Ruiz, Paula; Grand'Maison, Paul H; Henry, Melanie; Israel, Kerling; Kapoor, Videsh; Kurniawan, Hendra; Lobo, Louella; Maiga, Mahamane; Franca, Samantha Pereira; Redwood-Campbell, Lynda; Rodas, Jamie; Sohal, Raman; Wondimagegn, Dawit; Woolard, Robert.
Afiliação
  • Rouleau K; University of Toronto, Department of Family and Community Medicine.
  • Bourget M; Santa Marcelina Hospital, Faculdade Santa Marcelina, Sao Pãolo, Brazil.
  • Chege P; Moi University College of Health Sciences, Department of Family Medicine.
  • Couturier F; Université de Sherbrooke, Canada, Faculty of Medicine and Health Sciences.
  • Godoy-Ruiz P; Department of Family and Community Medicine, University of Toronto.
  • Grand'Maison PH; Université de Sherbrooke, Canada, Faculty of Medicine and Health Sciences.
  • Henry M; Department of Family and Community Medicine, University of Toronto, Canada.
  • Israel K; Partners in Health, Hospital Saint Nicolas, Saint Marc, Haiti.
  • Kapoor V; University of British Columbia.
  • Kurniawan H; Syiah Kuala University Public Health and Community Medicine Department, Aceh, Indonesia.
  • Lobo L; McMaster University, Department of Family Medicine, Ontario, Canada.
  • Maiga M; DECLIC, Bamako, Mali.
  • Franca SP; Municipal Health Department of Rio de Janiero, Brazil.
  • Redwood-Campbell L; McMaster University, Department of Family Medicine, Ontario, Canada.
  • Rodas J; University of Toronto, Department of Family and Community Medicine.
  • Sohal R; University of Toronto Institute of Health Policy Management and Evaluation.
  • Wondimagegn D; Addis Ababa University Family Medicine Program, Addis Ababa, Ethiopia.
  • Woolard R; University of British Columbia.
Fam Med ; 50(6): 426-436, 2018 06 08.
Article em En | MEDLINE | ID: mdl-29537479
BACKGROUND AND OBJECTIVES: There is a limited evidentiary base on the development of family medicine in different contexts and countries. The lack of evidence impedes our ability to compare and characterize family medicine models and identify areas of success that have led to the effective provision of care. This paper offers a comparative compilation and analysis of the development of family medicine training programs in seven countries: Brazil, Canada, Ethiopia, Haiti, Indonesia, Kenya, and Mali. METHODS: Using qualitative case studies, this paper examines the process of developing family medicine programs, including enabling strategies and barriers, and shared lessons. An appreciative inquiry framework and complex adaptive systems thinking inform our qualitative study. RESULTS: Committed partnerships, the contribution of champions, health policy, and adaptability were identified as key enablers in all seven case studies. The case studies further reveal that some enablers were more salient in certain contexts as compared to others, and that it is the interaction of enablers that is crucial for understanding how and why initiatives succeeded. The barriers that emerged across the seven case studies include: (1) resistance from other medical specialties, (2) lack of resources and capabilities, (3) difficulty in sustaining support of champions, and (4) challenges in brokering effective partnerships. CONCLUSIONS: A key insight from this study is that the implementation of family medicine is nonlinear, dynamic, and complex. The findings of this comparative analysis offer insights and strategies that can inform the design and development of family medicine programs elsewhere.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Desenvolvimento de Programas / Medicina de Família e Comunidade / Fortalecimento Institucional / Cooperação Internacional Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: Africa / America do norte / America do sul / Asia / Brasil / Caribe / Haiti Idioma: En Revista: Fam Med Ano de publicação: 2018 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Desenvolvimento de Programas / Medicina de Família e Comunidade / Fortalecimento Institucional / Cooperação Internacional Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: Africa / America do norte / America do sul / Asia / Brasil / Caribe / Haiti Idioma: En Revista: Fam Med Ano de publicação: 2018 Tipo de documento: Article País de publicação: Estados Unidos