"साधारण चिकित्सक" का संशोधनहरू बिचको अन्तर

कुनै सम्पादन सारांश छैन
चिनोहरू: मोबाइल सम्पादन मोबाइल वेब सम्पादन
कुनै सम्पादन सारांश छैन
चिनोहरू: मोबाइल सम्पादन मोबाइल वेब सम्पादन
पङ्क्ति १:
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A '''general practitioner''' ('''GP''') or '''family physician''' ('''FP''') is a [[physician]]/[[medical doctor]] who provides [[primary care]]. A GP/FP treats acute र chronic illnesses, provides preventive care र health education for all ages र both sexes. Some also care for hospitalized patients, do minor [[surgery]] and/or [[obstetrics]]. The term general practitioner is common in the [[संयुक्त अधिराज्य|United Kingdom]] र some other [[Commonwealth of Nations|Commonwealth]] countries, where the word "physician" is only used for certain specialists र not for GPs.
 
== ब्राजिलिया ==
General practice in [[Brazil]] is called ''clínica geral'' or ''clínica médica''. Any physician is legally allowed to practice without any training after graduation in the medical school, but recent efforts by the government, the [[Brazilian Medical Association]] र the specialized [[Sociedade Brasileira de Clínica Médica]] are trying to demand also a specialist title for its practice, just like for others such as cardiology, endocrinology, etc. The majority of Brazilian GPs are located in the public health sector र is constituted mostly by young, recently graduated physicians. The reason is that GP is not terribly profitable र about ४०% of Brazilian doctors prefer to do specialized practice, instead. To do this, they are required to do [[medical residence]] of variable duration र submit to a board of medical examiners in order to get the title of specialist. Each medical society is in charge of organizing the examinations (which usually are carried out once a year) र granting the titles to those physicians who passed the requirements. The title is recognized by the [[Conselho Federal de Medicina|Federal Council of Medicine]] (the Federal professional regulatory body), the Ministry of Education र the Ministry of Health.
 
Family medicine, on the other hand, has evolved only recently in Brazil as a separate specialization of general practice. It is a concept which was adapted from several [[community health]] models in Europe, such as in [[Italy]], but particularly the one which was created successfully in [[Cuba]], र which was felt to be the most adequate to Brazilian reality. Around १० years ago, the सरकार recognized that primary health care in Brazil was poorly organized र fraught with many problems, including a lack of attractiveness to young physicians, so a different approach, the Family Health Program (''[[Programa de Saúde da Família]]'' or PSF) was tried, initially with some failures, but later with increasing strength र coverage. By spending a great deal of money in order to move the program forward, the Ministry of Health expanded र reinforced the public health care system, called Unified Health System (''[[Sistema Único de Saúde]]'' or SUS) by decentralizing its management to the states र municipalities, by demanding in the Federal Constitution that a minimum percentage of the municipal budget should be spent in free health care to the population, र by setting up a new, multidisciplinary, family health-based system, the PSF. It is essentially based on teams composed by one to four physicians (usually a GP, a gynecologist/obstetrician र a pediatrician), one to two dentists, several nurses र a number of so called Community Health Agents (''Agentes Comunitários de Saúde'' or ACS), who are trained lay persons who visit र have close contact with the families covered in a specific geographical location by the PSF team, in order to carry out preventative, educational र epidemiological work. Specific intensive training programs र recruiting efforts were set up in the country in order to form the PSF teams, which currently involve about ३,००० municipalities, with more than ४५,००० teams already in operation; so that it can be considered one of the largest family health programs in the world.
 
Family physicians per se are still a rare specialty in Brazil, as the profession is generally shunning it (although economical incentive is no longer a valid reason, since physicians who work in the PSF units are generally well paid in comparison to primary health care physicians in the public sector). A few years ago a Brazilian Society of Family र Community Medicine was founded र has lobbied to have its own specialty title र board of examiners, but it has so far remained relatively small.
 
== क्यानडा ==