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This poster was presented in WONCA Europe 2012 byu Alessandro Menin and Liliana Constantino.
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Menin Alessandro 1
Constantino Liliana 2
1 General Practitioner; Vicenza (Italy)E-mail address: [email protected]
ConclusionsStarting from the same principles, the two educational systems prepare the new doctors in a different manner and also the organization of the Practice is very different in regards to the management of chronic and acute patients. A comparison between the two systems could make an improvement in the quality and efficacy of the provided services.
Analysis of two different educational systemsof General Practice in Europe
2 General Practitioner; Coimbra (Portugal)E-mail address: [email protected]
ThreatsOpportunities
WeaknessesStrengthsPortugal
- The lack of symmetry on common standards and the absence of recognition ofmerit to the best tutorsresults in asymmetriceducation standards
- The increasing number of residents per tutor can lower the educationstandards
- The lack of recognition of merit to the best tutorsresults in lower educationstandards
- The absence of common standards can cause a worsening of the teachingquality
- Trainees with their studyprojects as residentscould help increaseresearch in GP/FM
- With their work, traineescan help increaseresearch in the GeneralPractice
PortugalItalyPortugalItaly
- Variability between regionsand Health Centres
- Lack of knowledge aboutresearch among tutors
- Lack of a more solidfoundation in family therapy tecniques
- Too much variabilitybetween regions and Schools
- Lack of educational knowledge among tutors
- Lack of an university programme (RegionalSchool)
- Holistic approach to the patient (ICPC2)
- Organization run byCoordinations of GP/FM
- Long training in GeneralPractice/ Family Medicine
- Functional regionalprogramme
- Theorical courses in the programme
- Holistic approach to the patient
- Organization run byGeneral Practitioners
PortugalItalyItaly
ThreatsOpportunities
WeaknessesStrengthsPortugal
- The reduced financialincentives (recentlyaggravated) may result in areduced interest about theGP/FM
- Little time for domiciliaryvisits can become a moreevident problem
- Excessive bureaucracy andtime per consultation limitthe plans of action in General Practice
- The reduced financialincentives may result in a reduced interest about the General Practice
- The lack of a standardizedprevention can cause reduced control of the prevalence of disease
- Excessive bureaucracylimits the plans of action in General Practice
- Conditions with the purpose of maintaining the holistic approach in GP/FM can allow a better responsefrom the health services forthe patients’ needs and satisfaction
- The use of ICPC2 inelectronic data (SOAP) canbe an important supportingtool to manage and supportthe WONCA Europedefinition of GP/FM
- A better organization of the patient-oriented servicescan improve the responseto the patients’ needs and satisfaction level
- A better organization and management of the patientcan offer a better responsein a time of crisis
PortugalItalyPortugalItaly
- Delay in the management of acute patients
- Patients difficulty in speaking with their own GP out of the setting
- Billable services forpatients
- Reduced economicincentive for extra services
- Lack of a plannedprevention
- A trend to equalizing on low levels (reducedeconomic incentive forextra services)
- Good results on greatstatistics (low mortality and high lifespan)
- Planned prevention- Holistic vision- Large variability of services
offered (including familyplanning, pregnancy,children health vigilance), community oriented
- Gate keeping / advocate of patient (NHS)
- Good informatized system, emproving management
- Good results on greatstatistics (low mortality and high lifespan)
- Rapid answer to acute diseases
- Holistic vision vs- nosographic vision- Domiciliary medical
treatment of terminal patients
- Free of charge and accessibility
- Entrepreneurial attitude(professional)
PortugalItalyItaly
CSeRMEG
SWOT Analysis of the School of General Practice SWOT Analysis of the General Practice