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Family medicine in post-communist Europe needs a boost. Exploring the position of family medicine in healthcare systems of Central and Eastern Europe and Russia.

Oleszczyk M, Svab I, Seifert B, Krztoń-Królewiecka A, Windak A - BMC Fam Pract (2012)

Bottom Line: Full introduction of family medicine was successful only in Estonia.Some of the unification of the systems may have been the result of the EU request for adequate training that has pushed the policies towards higher standards of training for family medicine.The initial enthusiasm of implementing family medicine has decreased because there was no initiative that would support this movement.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Chair of Internal Medicine and Gerontology, Jagiellonian University Medical College in Krakow, Krakow, Poland. marek.oleszczyk@gmail.com

ABSTRACT

Background: The countries of Central and Eastern Europe have experienced a lot of changes at the end of the 20th century, including changes in the health care systems and especially in primary care. The aim of this paper is to systematically assess the position of family medicine in these countries, using the same methodology within all the countries.

Methods: A key informants survey in 11 Central and Eastern European countries and Russia using a questionnaire developed on the basis of systematic literature review.

Results: Formally, family medicine is accepted as a specialty in all the countries, although the levels of its implementation vary across the countries and the differences are important. In most countries, solo practice is the most predominant organisational form of family medicine. Family medicine is just one of many medical specialties (e.g. paediatrics and gynaecology) in primary health care. Full introduction of family medicine was successful only in Estonia.

Conclusions: Some of the unification of the systems may have been the result of the EU request for adequate training that has pushed the policies towards higher standards of training for family medicine. The initial enthusiasm of implementing family medicine has decreased because there was no initiative that would support this movement. Internal and external stimuli might be needed to continue transition process.

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Countries included in the study.
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Figure 2: Countries included in the study.

Mentions: 11 countries of CEE and Russia were finally included for the study. Amongst European Union member states we failed to recruit key informants only from Latvia. The rest of EU-member states studied were Bulgaria (BG), the Czech Republic (CZ), Estonia (EE), Hungary (HU), Lithuania (LT), Poland (PL), Romania (RO), Slovakia (SK) and Slovenia (SI). The non-EU member states studied were Croatia (HR), Montenegro (ME) and Russia (RU) Figure 2.


Family medicine in post-communist Europe needs a boost. Exploring the position of family medicine in healthcare systems of Central and Eastern Europe and Russia.

Oleszczyk M, Svab I, Seifert B, Krztoń-Królewiecka A, Windak A - BMC Fam Pract (2012)

Countries included in the study.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368769&req=5

Figure 2: Countries included in the study.
Mentions: 11 countries of CEE and Russia were finally included for the study. Amongst European Union member states we failed to recruit key informants only from Latvia. The rest of EU-member states studied were Bulgaria (BG), the Czech Republic (CZ), Estonia (EE), Hungary (HU), Lithuania (LT), Poland (PL), Romania (RO), Slovakia (SK) and Slovenia (SI). The non-EU member states studied were Croatia (HR), Montenegro (ME) and Russia (RU) Figure 2.

Bottom Line: Full introduction of family medicine was successful only in Estonia.Some of the unification of the systems may have been the result of the EU request for adequate training that has pushed the policies towards higher standards of training for family medicine.The initial enthusiasm of implementing family medicine has decreased because there was no initiative that would support this movement.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Chair of Internal Medicine and Gerontology, Jagiellonian University Medical College in Krakow, Krakow, Poland. marek.oleszczyk@gmail.com

ABSTRACT

Background: The countries of Central and Eastern Europe have experienced a lot of changes at the end of the 20th century, including changes in the health care systems and especially in primary care. The aim of this paper is to systematically assess the position of family medicine in these countries, using the same methodology within all the countries.

Methods: A key informants survey in 11 Central and Eastern European countries and Russia using a questionnaire developed on the basis of systematic literature review.

Results: Formally, family medicine is accepted as a specialty in all the countries, although the levels of its implementation vary across the countries and the differences are important. In most countries, solo practice is the most predominant organisational form of family medicine. Family medicine is just one of many medical specialties (e.g. paediatrics and gynaecology) in primary health care. Full introduction of family medicine was successful only in Estonia.

Conclusions: Some of the unification of the systems may have been the result of the EU request for adequate training that has pushed the policies towards higher standards of training for family medicine. The initial enthusiasm of implementing family medicine has decreased because there was no initiative that would support this movement. Internal and external stimuli might be needed to continue transition process.

Show MeSH