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Proactive measures in family practice : The approach and limitations in a chronic disease model

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Public Health

Advisors

Kamel, Layla M. , El-Mursi, El-Mursi A. , El-Salamouni, Umayma K.

Authors

Hefnawi, Tamer Muhammad Saeid

Accessioned

2017-03-30 06:20:58

Available

2017-03-30 06:20:58

type

M.D. Thesis

Abstract

Family Medicine started to be implemented in some areas and governorates in Egypt. Chronic diseases form an important health problem facing the family physician. The aim of this work was to improve the health of the Egyptian population and to decrease the burden of chronic illness and our specific objectives were to assess the present and potential role of Family Practice in prevention and control of priority chronic diseases and to develop a prototype for Family practice services dealing with these diseases. The study was conducted in Kafr Ayoub rural health unit, Belbeis district, Sharkeya governorate. The methodology followed a Systems Analysis (SA) approach. In addition an exit interview questionnaire was done with clients for assessment of satisfaction and orientation about family practice. Hypertension was the selected model of chronic diseases in this study. Cross validation of the basic clinical examination done by Ministry of Health and Population (MOHP) health team was done showing high sensitivity and specificity indicating a high quality of the screening done by the family health team at the unit. A protocol for diagnosis and follow up was suggested and implemented in this unit during the study period. Health education sessions were prepared by the investigator. He first delivered these sessions to para-medical health care providers, who then provided these classes to attending clients and hypertensive patient as a starting model for health education within the family practice program.Our recommendation mainly is to increase awareness about family practice and the importance of the family physician in detecting and follow up of chronic disease being the first gait to the health system in the country.

Issued

1 Jan 2004

Details

Type

Thesis

Created At

31 Jan 2023