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DC Field | Value | Language |
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dc.contributor.author | Soler, Jean Karl | - |
dc.contributor.author | Okkes, Inge | - |
dc.contributor.author | Oskam, Sibo | - |
dc.contributor.author | Boven, Kees van | - |
dc.contributor.author | Zivotic, Predrag | - |
dc.contributor.author | Jevtic, Milan | - |
dc.contributor.author | Dobbs, Frank | - |
dc.contributor.author | Lamberts, Henk | - |
dc.date.accessioned | 2019-08-26T07:58:56Z | - |
dc.date.available | 2019-08-26T07:58:56Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | Soler, J. K., Okkes, I., Oskam, S., van Boven, K., Zivotic, P., Jevtic, M.,...Lamberts, H. (2012). An international comparative family medicine study of the Transition Project data from the Netherlands, Malta and Serbia. Is family medicine an international discipline? Comparing incidence and prevalence rates of reasons for encounter and diagnostic titles of episodes of care across populations. Family Practice, 29(3), 283-298. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/45878 | - |
dc.description.abstract | Introduction: This is a study of the epidemiology of family medicine (FM) in three practice populations from the Netherlands, Malta and Serbia. Incidence and prevalence rates, especially of reasons for encounter (RfEs) and episode labels, are compared. Methodology: Participating family doctors (FDs) recorded details of all their patient contacts in an episode of care (EoC) structure using electronic patient records based on the International Classification of Primary Care (ICPC), collecting data on all elements of the doctor–patient encounter. RfEs presented by the patient, all FD interventions and the diagnostic labels (EoCs labels) recorded for each encounter were classified with ICPC (ICPC-2-E in Malta and Serbia and ICPC-1 in the Netherlands). Results: The content of family practice in the three population databases, incidence and prevalence rates of the common top 20 RfEs and EoCs in the three databases are given. Conclusions: Data that are collected with an episode-based model define incidence and prevalence rates much more precisely. Incidence and prevalence rates reflect the content of the doctor– patient encounter in FM but only from a superficial perspective. However, we found evidence of an international FM core content and a local FM content reflected by important similarities in such distributions. FM is a complex discipline, and the reduction of the content of a consultation into one or more medical diagnoses, ignoring the patient’s RfE, is a coarse reduction, which lacks power to fully characterize a population’s health care needs. In fact, RfE distributions seem to be more consistent between populations than distributions of EoCs are, in many respects. | en_GB |
dc.description.sponsorship | Funding: The European Union Financial Protocol 7 project ‘TRANSFoRm’ (FP7 247787, www.transformproject .eu) supported part of the protected time of the authors in performing this study, through its partner the Mediterranean Institute of Primary Care (www.mipc.org.mt). | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Oxford Academic | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Family medicine -- Comparative studies | en_GB |
dc.subject | Family medicine -- Practice | en_GB |
dc.subject | Family medicine -- Databases | en_GB |
dc.subject | Medical records -- Data processing | en_GB |
dc.subject | Family medicine -- Research -- Malta | en_GB |
dc.subject | Family medicine -- Research -- Netherlands | en_GB |
dc.subject | Family medicine -- Research -- Serbia | en_GB |
dc.subject | Diagnosis -- Data processing | en_GB |
dc.subject | Episode of care -- Research | en_GB |
dc.title | An international comparative family medicine study of the Transition Project data from the Netherlands, Malta and Serbia. Is family medicine an international discipline? Comparing incidence and prevalence rates of reasons for encounter and diagnostic titles of episodes of care across populations | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.contributor.corpauthor | Transition Project | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1093/fampra/cmr098 | - |
dc.publication.title | Family Practice | en_GB |
Appears in Collections: | Scholarly Works - ERCMedGen |
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