Skip to main navigation menu Skip to main content Skip to site footer

Saggi

No. 126 (2023)

Towards the reform of General Practice: To know each other in order to renew ourselves Results of the survey about the knowledge of General Practice and its future

DOI
https://doi.org/10.3280/mesa2023-126oa17410
Submitted
March 4, 2024
Published
2024-04-24

Abstract

The renewal of health systems is at the centre of institutional debate and the recent epidemic crisis has sharpened its relevance. The reform of primary care seems uncrustinable and the actors of the system need to know their stakeholders.
It has been changed the point of view investigating GP through the other main characters of the NHS.
The DIAS and DSC students from Lombardy answered to a survey, validated by a panel of experts, in order to investigate their knowledge and future prospects about the GP figure. The answers were heterogeneous, ad it demonstrates a partial knowledge of GP and a great difference of expectations about the future of this profession.
However, there are some fundamental points of convergence, useful for the reorganization of primary care.

References

  1. Badinella Martini M., Garattini L., Mannucci P.M. (2021). Libretto di istruzioni per riformare la medicina generale italiana. Recenti Prog Med, 112: 182-185. DOI: 10.1701/3565.35455.
  2. Bashshur R.L. et al. (2016). The empirical foundations of telemedicine interventions in primary care. Telemed J E Health, 22: 342-375. DOI: 10.1089/tmj.2015.0206.
  3. Carenza infermieristica (2020). FNOPI, Federazione Nazionale Ordini Professioni Infermieristiche. -- Disponibile su https://www.fnopi.it/aree-tematiche/carenza-infermieristica. Data di consultazione: luglio 2021.
  4. Cergas Bocconi (a cura di). Rapporto OASI 2020 Osservatorio sulle Aziende e sul Sistema sanitario Italiano. Milano: Egea.
  5. Colombo A., Bassani G. (2019). Lack of Doctors, But for What System? Shortage of Clinicians in Italy and Lombardy, and Reflections on Structural Constraints in Training – Carenza di medici: ma per quale SSN? Dati, riflessioni e proposte dalla formazione. AFSSL, Social Healthcare Academy, PoliS Lombardia, Milano.
  6. Colombo A., Parisi G. (2019). Seeking identity in primary care. A survey on GPs trainees in Lombardy. European Journal of Internal Medicine, 64: 14-16. DOI: 10.1016/j.ejim.2019.03.015.
  7. Cricelli C. (2008). Le strategie per la riorganizzazione della Medicina Generale e delle cure primarie. Monitor, Elementi di analisi e osservazione del sistema salute, 20: 20-28.
  8. EUROSTAT (2019). Health statistics. Eurostat database.
  9. Garattini L., Curto A., Freemantle N. (2016). Access to primary care in Italy: time for a shakeup?. Eur J Health Econ, 17: 113-116. DOI: 10.1007/s10198-015-0732-7.
  10. Garattini L., Padula A. (2018). English and Italian national health services: time for more patient-centered primary care?. Eur J Intern Med, 57: 19-21, 25. DOI: 10.1016/j.ejim.2018.09.013.
  11. Garattini L., Badinella Martini M., Mannucci P.M. (2020). Improving primary care in Europe beyond COVID-19: from telemedicine to organizational reforms. Internal and emergency medicine. DOI: 10.1007/s11739-020-02559-x.
  12. Ghoss A., Kapila D., Ghosh T. (2017). Improvements in primary care skills and knowledge with a vocational training program: a medical student’s perspective. Advances in Medical Education and Practice, 8: 633-634. DOI: 10.2147/amep.s148900.
  13. Lega F. (2021). Come rilanciare (davvero) la sanità lombarda. www.ilsussidiario.net. -- Disponibile su https://www.ilsussidiario.net/editoriale/2021/1/21/come-rilanciare-davvero-la-sanita-lombarda/2119516/. Data di consultazione: luglio 2021.
  14. Nelson P.A. et al. (2019). Skill-mix change in general practice: a qualitative comparison of three ‘new’ non-medical roles in English primary care. British Journal of General Practice, July, 69(684): 489-498. DOI: 10.3399/bjgp19x704117.
  15. Phillips J. et al. (2012). How do Medical Students View the Work Life of Primary Care and Specialty Physicians?. Fam Med, 44(12): 7-13.
  16. Proposta di Piano Nazionale di Ripresa e Resilienza, Doc. XXVII, n. 18, -- Disponibile su http://www.infoparlamento.it/tematiche/Parlamento-varie/proposta-di-piano-nazionale-di-ripresa-e-resilienza-doc-xxvii-n-18. Data di consultazione: luglio 2021.
  17. Scotti S. (2018). Garantire investimenti economici su numero e qualità della formazione dei mmg. FIMMG. -- Disponibile su https://www.fimmg.org/index.php?action=pages&m=view&p=18&lang=it&d=400&art=259 1. Data di consultazione: luglio 2021.
  18. Shah R., Ahluwalia S., Spicer J. (2021). A crisis of identity: what is the essence of general practice. British Journal of General Practice, 71(707): 246-247. DOI: 10.3399/bjgp21x715745.
  19. Sistema sanitario e risorse umane: l’Italia ha bisogno di infermieri. Epicentro 2020, ISS. -- Disponibile su https://www.epicentro.iss.it/politiche_sanitarie/ocseSistemaSanitario08. Data di consultazione: luglio 2021.
  20. Soler J.K. et al. (2008). Burnout in European family doctors: the EGPRN study. Family Practice Advance Access, 25(4): 245-265. DOI: 10.1093/fampra/cmn038.
  21. XIII Report HealthSearch (2020). Società Italiana di Medicina Generale e delle Cure Primarie, Firenze.

Metrics

Metrics Loading ...