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Family medicine > Principles of family medicine > Flashcards

Principles of family medicine Flashcards

1
Q

What influence coping capability?

A
  • Natural disposition
  • Course of life
  • Social environment micro
  • Social environment macro
  • Physical and chemical
  • Biological
  • Unknown factors
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2
Q

What are the key elements of the consultation

A

1) Building relation 2) Opening of discussion 3) Collection of information 4) Consensus about the problem and Mx plan 5) Conclusions

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3
Q

Advantage of the patient centered consultation

A

1) Increased satidfaction 2) Better compliance 3) Better outcomes 4) Lower costs 5) Lower risk of medical error

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4
Q

Families share

A

1) hereditary disease 2) Housing 3) Living conditions 4) Eating habits 5) leisure activities 6) hygienic conditions 7) pollutions ( smoking, water, air)

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5
Q

Families share as a social unit:

A
  • Illness behavior

- Health maintenance behavior

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6
Q

What are the principles of FM?

A
  1. Continuity of care
  2. Comprehensiveness of care (helhet)
  3. Family oriented care - influence
  4. Preventive care (a. see risk factors b. delay consequence of chronic disease c. promoting healthy lifestyle)
  5. Community oriented care (occupation, culture, environment, social habits)
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7
Q

Types of practice

A
  • Single practice
  • Group practice
  • Health center
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8
Q

Sources of income

A
  • Public

- Private: a. patient b. employer

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9
Q

Payment methods

A
  • Fee for service
  • Per case
  • Capitation
  • Salary
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10
Q

Fee for service, weakness and strength

A

S: 1) Incentive to provide service 2) easy analysis
W: 1) cost inflation 2) unecessary Tx

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11
Q

Per case, W and S

A

S: Well balanced remuneration and incentive to minimize resources
W: technical problems w classification, tendency to overuse Dx

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12
Q

Capitation W&S

A

S: Simple, easy budgeting, incentive to minimize tests
W: Incentive to select pat at low risk, difficult analysis, tendency to limit services

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13
Q

Salary W&S

A

S: Simplest, easy budgeting
W: no influence on provider behavior, reduced productivity

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14
Q

Payment consequence

A
  • Fee for service: payer have financial risk, increased volume of services from provider
  • Per case: shared financial risk, cost reduction behavior
  • Capitation: provider have risk, cost reduction behavior
  • Salary: no financial risk, decreased number of service from provider
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15
Q

Teamwork composition

A
  • Physician
  • Practice nurse
  • Practice assistants
  • Community nurse
  • Physiotherapists
  • Managers
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16
Q

Teanwork relationships

A
  • Partnership and leadership
  • Share of responsibilities
  • Group communication: a. mutual trust b. conflict solution
  • Professional development
17
Q

Time management

A
  • Appointment systems
  • Consultation sessions
  • Telephone consultations
  • Home visits
  • Out of hours care
  • Administrative work
18
Q

External public zone

A

Patient WC, reception/acheives, waitingroom, nurse surgery, store

19
Q

Internal medical zone

A

Consultation room, physician surgery, examination, physiotherapy, Dx lab, mini clinics

20
Q

Personell (social) zone

A

Social room, library, personell toilets, administrative office

21
Q

Medical equipment

A

ECG, basic labs, minor surgery tools, US machine, spirometer, physic equipment

22
Q

Patient chart

A
  • Readable/ electronic
  • Confident
  • Basic content: 1) personal data 2) list of problems 3) chronic pharmacotherapy 4) habit 5) allergy 6) lab results 7) consultation data
23
Q

SOAP system

A

Subjective (complaint)
Objective ( measurements/ vitals/ findings)
Analysis ( diagnosis)
Plan ( what to do next? labs/referral/procedure/meds)

24
Q

What is quality assurance?

A

Continuing, dynamic process aimed at the improvement of all aspects of care

25
Q

What are the medical AUDITS?

A
  • External: 1) Beurocratic 2) Restrictive 3) Summative

- Internal: 1) Flexible 2) Formative 3) Save

26
Q

What are the dimensions of improvement? (according to Donnabedian)

A

Structure, process and outcome

27
Q

What are the method of QA?

A

1) Peer review group 2) Guidelines 3) Self-learning 4) Practice visits

28
Q

What is APGAR in family medicine?

A

Adaption, Partnership, Growth, Affection and Resolve - assessing the functioning of a family system in health and illness

Family medicine (14 decks)

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