Perspectives of family medicine in Central and Eastern Europe
Perspectives of family medicine in Central and Eastern Europe
复制标题
DOI：
10.1093/fampra/cmn009
复制
发表时间：
2008-04-01
期刊：
影响因子：
2.2
通讯作者：
Byma, Svatopluk
中科院分区：
文献类型：
--
作者：
Seifert, Bohumil;Svab, Igor;Byma, Svatopluk
介绍。20世纪最后十年，中欧和东欧国家的卫生政策发生了迅速变化。这一进程主要得到国际赠款的支持。在这种支持结束后，重要的是要跟上发展，制定自己的战略和优先事项。目标和方法。本文的目的是对该学科在中东欧国家的未来发展提出建议。这项建议是根据为中东欧国家家庭医学主要代表组织的一次邀请会议的报告提出的。为了本文的目的，从文献综述、国家访问和个人访谈中收集了有关这种情况的额外信息。资料显示，虽然家庭医学已被正式承认并纳入大学课程，但其学术地位存在很大差异。根据欧洲指令，所有中东欧国家都建立了研究生培训。质量措施，如制定和实施指导方针和重新认证程序也已正式引入，但其质量各不相同。值得关注的关键领域是实践的原子化、不令人满意的支付系统、缺乏学术基础设施和不令人满意的持续专业发展。另一方面，良好实践的例子是存在的，需要推广。有必要在各国内部不断交流专门知识。该文件将作为下一次中东欧国家专家会议的讨论文件。
Introduction. In the last decade of the 20th century, the countries of Central and Eastern Europe (CEE) have experienced rapid changes in health policies. This process was largely supported by international grants. After this support has ended, it is important to keep up with the development, developing its own strategies and priorities.Aims and methods. The aim of the paper is to make a proposal for the future development of the discipline in CEE countries. The proposal is based on reports on an invitational conference that was organized for the key representatives of family medicine from CEE countries. For the purpose of this paper, additional information about the situation was gathered from literature reviews, country visits and personal interviews.Results. Information shows that although family medicine has been formally recognized and introduced in university curricula, there is a very big difference in its academic position. Postgraduate training has been established in all CEE countries, according to the European Directive. Quality measures such as the development and implementation of guidelines and the re-certification procedure have also been formally introduced, but its quality varies. The key areas of concern are atomization of practices, unsatisfactory payment systems, lack of academic infrastructure and unsatisfactory continuous professional development. On the other hand, examples of good practice exist and need to be promoted.Conclusion. There is a need for continuous exchange of expertise within the countries. The paper will serve as a discussion paper for the next meeting of experts from CEE countries.