Background: The phenomenon of smoking in health workers is rather common. In Vietnam, data on smoking in different demographics is quite rich, but research on the medical staff is sparse.\r\n', u'Objectives: To discover the smoking behavior and to identify predictors of smoking status among health workers in Hue Central hospital. \r\n', u'Subjects and methods: The questionnaire of a global survey on tobacco use among health professionals was adapted for data collection on a sample number of 749. \r\n', u'Results: Research participation rates reached 83.2% (65.6% female compared with 34.4% male). Overall smoking rate is just 14.7%, but much more prevalent among male subject (over 20-fold vs female), among physicians than nurses, among over-30-year old cohorts than among under 30 year old cohorts. One main predictor of smoking is the belief of health professionals on their role as non-smoking exemplary.\r\n', u'Conclusion: The results highlight the importance of promoting the belief of health professionals about the no-smoking atmosphere as a good model for patients.\r\n', u'\r\n', u'
Smoking ; health professional

When coming a innovative period, we mentioned directly the issues of health economics and health care finance, but this approach just only generalized that not enough thoroughness to overcome many challenges from dark side of market economy. If these issues weren’t paid attention, Vietnamese public health could be inconsiderable, arbitrary, and lack of method and thriftiness
Delivery of Health Care ; Vietnam ; Professional Practice ; Politics

Introduction: Continuous professional development (CPD) is an important aspect of a medical practitioner’s career. Aiming to be at par with other developed countries for high quality of professional practice, Malaysia is planning to implement compulsory CPD for the doctors. Aim: The aim of the study was to explore the private general practitioners’ (GPs) views, experiences and needs regarding CPD programme in the primary care service. Methods: This study used a qualitative methodology. Seven semi-structured interviews and three focus group discussions were conducted with private general practitioners from an urban area of Malaysia between January and December 2012. An interview topic guide was developed based on literature review and researchers’ discussions and it was used to guide the interviews. All the interviews were audio-recorded, transcribed verbatim and the transcripts formed the data for analysis using the thematic approach. Results: GPs undertook a wide range of CPD programmes to keep up with medical advances, meet patients’ expectations and improve financial rewards. Conferences, lectures and online recourses were the most mentioned methods of keeping updated. Some of the GPs felt that peer motivation and networking seem to motivate and facilitate participation in CPD programmes. However, they were wary of the validity and relevance of some CPD programmes, particularly those related to pharmaceutical industry. Although the participants agreed to the new mandatory CPD regulation, they voiced concerns on how it would be implemented and wished for a more effective method of monitoring. Conclusions: Organised peer support and relevant CPD content may improve GP participation in CPD but adequate regulatory measure should be in place to monitor the CPD activities.
Education, Medical ; Primary Health Care ; Education, Professional

BACKGROUND & OBJECTIVE: Midwives have been the country's frontline health care providers in communities. Their role was expanded from largely providing maternal and child care services in the 1920s to provision of basic Primary Health Care services since 1970s. Despite their extensive roles, there has been no comprehensive enquiry on the professional practice of midwifery in the Philippines since it formally started in 1901. This study was conducted to (1) describe the evolution of midwifery education and regulation; (2) describe professional practice of midwifery and the midwives' role in the local health system; (3) identify gaps in the current midwifery practice, and; (4) recommend to improve and standardize the competencies of practicing midwives.

METHODOLOGY: The study is qualitative with a grounded theory approach using face-to-face Key Informant Interview (KII), Focus Group Discussion (FGD), and document review. The study, conducted from January to December 2015, purposively sought experts from different fields of midwifery, including midwifery-service providers, birthing home managers from public and private sector, academe, Department of Health (DOH), development partners, the country's three leading midwifery organizations, and the Board of Midwifery (BOM) of the Philippine Professional Regulation Commission (PRC).

RESULTS: Changes in midwifery education, scope of practice and standards were in response to the country's health challenges in maternal and child health. Public midwives were frontline implementors of 57 DOH programs. Despite their vital role and expanded workload, the tenure or plantilla positions of government midwives continued to have the same salary grade promulgated in 2000 while others, although the numbers are unknown, do not have security of tenure. There were no learning and development initiatives designed to enable midwives to become implementors of multiple programs. Regulation of midwifery practice was not cohesive. The standards of practice were program-based and were scattered in different policies.

RECOMMENDATION: The study recommends that the DOH, PRC, and midwives' organizations review and revise the scope of midwifery practice in line with global standards, as well as to implement a competency-based career development pathway that is integrated with the regulatory system.

In 600 communes, direct interview in combining with observation on 480 women who had under 5- year- old children, using a 50 question table showed that knowledge on health at moderate level but there was considerable gap between various areas in the provine and between various groups of subjects with diverse education level, profession and communicative media. Main important source of information was from health workers, local organization bodies and mass media with TV, radio… The books and journals were neglectful
Education, Public Health Professional ; education ; Public Health ; Quality Control

PURPOSE: This study was conducted to explore the professional identity of elementary school health teachers. METHODS: In-depth interviews with fifteen elementary school health teachers were conducted from July 2010 to August 2012. Qualitative data collected by the researcher including transcription and field notes were analyzed through an adapted methodology based on the Grounded Theory of Strauss and Corbin. RESULTS: Fifteen categories, 35 sub-categories and 120 concepts were obtained. The key category that was consistently maintained in identity formation was 'keeping themselves being a teacher providing nursing' which has three styles, 'focusing on health education', 'combining nursing and education' and 'focusing on providing nursing care'. CONCLUSION: Results of this study will provide basic information for preparing manuals regarding the range of activities in school health teachers' jobs, improving promotion and merit payment systems for school health teachers, creating support programs for them, and contributing to the formation and establishment of their professional identity.
Nursing ; Professional Role ; Qualitative Research ; School Health Services* ; School Nursing

Burnout, Professional ; epidemiology ; Faculty ; Humans ; Job Satisfaction ; Occupational Health ; Universities

Burnout, Professional ; psychology ; Faculty ; Female ; Humans ; Male ; Mental Health

Health Services ; Humans ; Medicine, Chinese Traditional ; Professional Practice

Conflicts of interest in medicine has created deep concerns about the integrity of medicine and raised doubts about the trustworthiness of the medical professional. New stories of conflict of interest in medicine have become a commonplace. The interactions between the medical professional and the biomedical device as well as the pharmaceutical industry has become so pervasive that the primary interest of the medical professional in protecting and promoting the welfare of the patient has been compromised. The professional judgement and actions have been influenced by secondary interests, the major fungible and quantifiable being financial interest. The industry influence not only affects the way we practice orthopaedics but also affects medical education and peer review publications. Peer review publications have been shown to exaggerate benefits of the industry products while at the same time downplaying the risks. These conflicts of interest in orthopaedic surgery are particularly common in spinal and joint replacement surgery where joint replacement has been described as a ‘fashion trade’. The introduction of new products appears to be an uncontrolled experiment which has been hijacked by large corporations. This article explores the unhealthy pervasive interaction between the orthopaedic surgeon and the medical devices as well as the pharmaceutical industry. It highlights how the biomedical and the pharmaceutical industry dominate all aspects of the healthcare system. With its wealth and political clout, its influence is present everywhere, from the use of devices and drugs, research, publications, trials, education and even formulation of CGPs.
Ethics, Medical ; Professional Competence ; Professionalism ; Technology, Pharmaceutical ; Delivery of Health Care