Cargando…

Core Values of Family Medicine in Europe: Current State and Challenges

Background: Values are deeply held views that act as guiding beliefs for individuals and organizations. They state what is important in a profession. The aims of this study were to determine whether European countries have already developed (or are developing) documents on core values in family medi...

Descripción completa

Detalles Bibliográficos
Autores principales: Arvidsson, Eva, Švab, Igor, Klemenc-Ketiš, Zalika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940667/
https://www.ncbi.nlm.nih.gov/pubmed/33708785
http://dx.doi.org/10.3389/fmed.2021.646353
_version_ 1783661988370448384
author Arvidsson, Eva
Švab, Igor
Klemenc-Ketiš, Zalika
author_facet Arvidsson, Eva
Švab, Igor
Klemenc-Ketiš, Zalika
author_sort Arvidsson, Eva
collection PubMed
description Background: Values are deeply held views that act as guiding beliefs for individuals and organizations. They state what is important in a profession. The aims of this study were to determine whether European countries have already developed (or are developing) documents on core values in family medicine; to gather the lists of core values already developed in countries; and to gather the opinions of participants on what the core family values in their countries are. Methods: This was a qualitative study. The questionnaire was distributed as an e-survey via email to present and former members of the European Society for Quality and Safety in Family Practice (EQuiP), and other family medicine experts in Europe. The questionnaire included six items concerning core values in family medicine in the respondent's country: the process of defining core values, present core values, the respondents' suggestions for core values, and current challenges of core values. Results: Core values in family medicine were defined or in a process of being defined in several European countries. The most common core values already defined were the doctor-patient relationship, continuity, comprehensiveness and holistic care, community orientation, and professionalism. Some countries expressed the need for an update of the current core values' list. Most respondents felt the core values of their discipline were challenged in today's world. The main values challenged were continuity, patient-centered care/the doctor-patient relationship and comprehensive and holistic care, but also prioritization, equity, and community orientation and cooperation. These were challenged by digital health, workload/lack of family physicians, fragmentation of care, interdisciplinary care, and societal trends and commercial interests. Conclusion: We managed to identify suggestions for core values of family medicine at the European level. There is a clear need to adopt a definition of a value and tailor the discussion and actions on the family medicine core values accordingly. There is also a need to identify the core values of family medicine in European countries. This could strengthen the profession, promote its development and research, improve education, and help European countries to advocate for the profession.
format Online
Article
Text
id pubmed-7940667
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-79406672021-03-10 Core Values of Family Medicine in Europe: Current State and Challenges Arvidsson, Eva Švab, Igor Klemenc-Ketiš, Zalika Front Med (Lausanne) Medicine Background: Values are deeply held views that act as guiding beliefs for individuals and organizations. They state what is important in a profession. The aims of this study were to determine whether European countries have already developed (or are developing) documents on core values in family medicine; to gather the lists of core values already developed in countries; and to gather the opinions of participants on what the core family values in their countries are. Methods: This was a qualitative study. The questionnaire was distributed as an e-survey via email to present and former members of the European Society for Quality and Safety in Family Practice (EQuiP), and other family medicine experts in Europe. The questionnaire included six items concerning core values in family medicine in the respondent's country: the process of defining core values, present core values, the respondents' suggestions for core values, and current challenges of core values. Results: Core values in family medicine were defined or in a process of being defined in several European countries. The most common core values already defined were the doctor-patient relationship, continuity, comprehensiveness and holistic care, community orientation, and professionalism. Some countries expressed the need for an update of the current core values' list. Most respondents felt the core values of their discipline were challenged in today's world. The main values challenged were continuity, patient-centered care/the doctor-patient relationship and comprehensive and holistic care, but also prioritization, equity, and community orientation and cooperation. These were challenged by digital health, workload/lack of family physicians, fragmentation of care, interdisciplinary care, and societal trends and commercial interests. Conclusion: We managed to identify suggestions for core values of family medicine at the European level. There is a clear need to adopt a definition of a value and tailor the discussion and actions on the family medicine core values accordingly. There is also a need to identify the core values of family medicine in European countries. This could strengthen the profession, promote its development and research, improve education, and help European countries to advocate for the profession. Frontiers Media S.A. 2021-02-23 /pmc/articles/PMC7940667/ /pubmed/33708785 http://dx.doi.org/10.3389/fmed.2021.646353 Text en Copyright © 2021 Arvidsson, Švab and Klemenc-Ketiš. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Arvidsson, Eva
Švab, Igor
Klemenc-Ketiš, Zalika
Core Values of Family Medicine in Europe: Current State and Challenges
title Core Values of Family Medicine in Europe: Current State and Challenges
title_full Core Values of Family Medicine in Europe: Current State and Challenges
title_fullStr Core Values of Family Medicine in Europe: Current State and Challenges
title_full_unstemmed Core Values of Family Medicine in Europe: Current State and Challenges
title_short Core Values of Family Medicine in Europe: Current State and Challenges
title_sort core values of family medicine in europe: current state and challenges
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940667/
https://www.ncbi.nlm.nih.gov/pubmed/33708785
http://dx.doi.org/10.3389/fmed.2021.646353
work_keys_str_mv AT arvidssoneva corevaluesoffamilymedicineineuropecurrentstateandchallenges
AT svabigor corevaluesoffamilymedicineineuropecurrentstateandchallenges
AT klemencketiszalika corevaluesoffamilymedicineineuropecurrentstateandchallenges