The survey was conducted on active private health centers and officials who were participating in management at 4 districts of Hµ Néi City (Hoµn KiÕm, §èng §a, Tõ Liªm, Gia L©m) from October 1998 to March 1999. It was found that legal principles were not implemented seriously. There was not any target was achieved in 100% of the centers. 11.72% of centers have broken professional principles in 1998. The number of inspections for private health centers remained to be low. Affected by market economy, it is difficult to manage and control some activities of private health centers. A complete approach is needed to improve the management for activities of these sectors
Private Practice ; Practice Management

Clinical practice guideline is defined as “statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options”. It includes recommendations that are intended to optimize patient care. They are the best source of evidence for busy clinicians and may be the most efficient type of evidence to guide decision making in family practice.
Practice Guideline

Background: The field of medicine is constantly changing. Notable changes occur in the patterns of clinical practice, business of medicine, shift in demographics/generation of the health care workforce, emergence of sub-specialization; and advances in research and technology. These changes can affect the way young physicians establish their practice and this is an area not addressed by the medical education and training. Purpose: There is little data in the literature regarding the experience of young physicians in establishing clinical practice. This study was undertaken to answer the central question: Among physicians in the field of Internal Medicine with or without subspecialty who graduated from training in 2013 to 2018, what were the issues and challenges that they faced as they established their clinical practice in the urban or mixed setting? Methodology: Qualitative research-case study; Key informant interview was conducted among junior Internal Medicine consultants who satisfied the inclusion criteria. Data analysis used thematic analysis consisting of reading, writing notes, describing, and classifying transcripts according to categories and themes. Results: After a comprehensive analysis of narratives, five emergent themes surfaced: “Tough Days” (Period of figuring out the system; Need for Self-introduction; Few patients and Feelings of frustration and depression); “Torn and Divided” (Unpredictable work schedule and workload; Lack of time for issues outside career); “Temporary Debt” (Large start-up cost; Expensive maintenance); “Difficult but Tolerable” (Family support; Call-a-colleague; Debt of gratitude to mentors) and lastly “Dreams and To-do’s”. Conclusions Our respondents have experienced substantial challenges in starting clinical practice. Learning the ways of the healthcare business, effectively promoting oneself to the community, dealing with the emotional turmoil of having few patients, coming up with a strategic schedule and area of practice, and looking for funds and paying it back, were the challenges and experiences of these young medical specialists as they establish their careers in the urban and/or rural setting.
Private Practice

Evidence-Based Practice ; Humans ; Practice Guidelines as Topic

Evidence-Based Practice ; Practice Guidelines as Topic

Evidence-Based Practice ; Family Practice ; Malaysia

No abstract available.
Family Practice* ; Humans

The concept of empathy was examined in the professional caregiving relationship and its application was extended to the context of informal caregiving. Using the Lazarus and Folkman model. the influence of empathy on the caregiver's experience in the caregiving relationship was illustrated. The effects of the caregiver's empathy on his/her own caregiving outcomes were investigated by examining the relationship between empathy and burnout experience and life satisfaction. Empathy increased emotional exhaustion while increased personal accomplishment and personalization. indicating conflicting relationship between empathy and burnout. This conflict relationship between empathy and burnout can be explained by suggesting the distinct roles of two dimensions of empathy: emotional and caregiving context and to examine the definite roles of two dimensions of empathy were suggested.
Empathy* ; Humans ; Professional Practice*

No abstract available.
Electrocardiography* ; Family Practice* ; Humans

Background: Food poisoning and diseases caused by food are pressing problems in Viet Nam.\r\n', u'Objectives: To contribute towards discovering suitable approaches for preventing food poisoning. \r\n', u'Subjects and methods: A cross sectional study was carried out in 2005 to assess the practice of food safety of 423 housewives in Bavi district, Hatay province. \r\n', u'Results:Almost all of them did not purchase tainted foods. Two thirds of them considered and looked for information on the label when buying tinned or packed foods. 52.2% of subjects reheated cooked foods before eating them. 87.2% of housewives washed their hands before they prepared food for their household. More than 86% of the subjects washed vegetables 3 times before cooking. Percentage of housewives who soak vegetables properly is 51.8%. Chopping board was used for processing both cooked and fresh foods by 55.6%. For containing foods, tools were used separately for cooked and un-cooked food by 98.6%. For preserving foods, dish-covers were used by 74.9%, lids by 72.8%, fridge by 1 % while 1.25% was not preserved by any tools. As for sources of water, deep well accounted for 71.6% while water well and rain water accounted for 18% and 9%, respectively. 88.7% of households have the foundation of kitchen dried. 68.6% of households did not have rubbish bins and 14.7% have daily emptied ones. \r\n', u'Conclusions: Housewives had initial improvements in good practice of food hygiene.\r\n', u'
food safety practice ; situation