1.Knowledge, attitude, perception and practices of primary care physicians regarding common dermatological diseases: A cross-sectional study
Tanya Patricia A. Marasigan ; Ma. Angela M Lavadia ; Wilsie Salas-Walinsundin
Journal of the Philippine Dermatological Society 2022;31(2):21-30
Introduction:
Dermatologic diseases are one of the common reasons for consult in primary care. Primary care physicians such as the doctors
to the barrios (DTTBs) assigned in geographically isolated areas play a critical role in providing primary skin health services since they are the
first, and sometimes, only doctors patients rely on for consult. In managing skin diseases, adequate knowledge and skills are needed to arrive at
a correct diagnosis, and a physician’s proper initial treatment and timely referral to dermatologists will lead to less affectation on quality of life.
Identifying what is lacking in skin health services and referral system would aid dermatologists in finding out how to bridge the gap in knowledge
and access to our specialized skin health care.
Objectives:
The study aimed to determine the knowledge, attitudes, practices, and perceptions of primary care physicians in the Philippines
regarding common dermatologic conditions.
Methods:
This is a cross-sectional study that utilized a self-administered questionnaire to collect data from rural government primary care phy-
sicians (doctors to the barrios). At the end of the study, the proponents collated the data and data analysis was done using STATA 13.1 guided by a
statistician.
Results:
A total of 118 DTTBs were included in the study. The mean age of the physicians is 28 years old. One-half of the physicians were assigned to
low-income class municipalities; 26.85% and 25% are from 4th class and 5th class municipalities respectively. Factors such as age, sex and clinical
experience were not associated with level of knowledge of the respondents. Majority or 55% of the primary care physicians were classified as hav-
ing insufficient knowledge on common skin diseases. The respondents have an average of 250 consultations per week and 6% of these are derma-
tologic diseases. The most common skin diseases they encountered were impetigo (46.61%), scabies (46.61%), contact dermatitis (43.22%), fungal
infection (25.42%) and cellulitis (20.34%). The most prescribed and available medications for skin diseases are oral and systemic antibiotics. Only
42.37% of the physicians are able to refer to dermatologists through various online communication platforms while the rest refer through phone
calls or advise their patients to seek dermatologic consult. 25% of the respondents have direct access to dermatologists. DTTBs also have recog-
nized the importance of having adequate knowledge on skin diseases and majority are very interested in learning more about these conditions.
The top 3 barriers to the proper management of skin diseases were lack of training, lack of experience, and lack of medications. Most of the re-
spondents have rated themselves as average to bad in their perceived competency in diagnosing and managing different common skin diseases.
Conclusion
The study showed that majority of the respondents had insufficient knowledge on the diagnosis and management of common der-
matological diseases but had a strong interest to learn more. A significant number of the respondents do not always refer to dermatologists and
have poor access to specialty care. Overall, our findings suggest that there are indeed barriers to delivery of skin-related health services that
should be addressed.
Physicians, Primary Care
2.Factors affecting the palliative care service provision among primary care physicians in Ilocos Norte
The Filipino Family Physician 2023;61(2):213-216
Background:
Palliative care is an approach which improves the quality of life of patients and their families facing life-threatening illness, through the prevention, assessment and treatment of pain and other physical, psychosocial and spiritual problems. The Palliative and Hospice Care Act was enacted to improve quality of life of terminally- ill patient, however, the readiness of general practitioner to participate in palliative care is still a critical issues.
Objectives:
This study aimed to identify factors affecting provision of palliative care, as perceived by primary care physicians in Ilocos Norte.
Methods:
The study is a descriptive-comparative research utilizing the purposive sampling technique in selecting the participants. It used a structured survey questionnaire in google form and was sent through email. For participants having difficulty with online platform, printed questionnaire was distributed. Data gathered was entered and analyzed using Microsoft Excel. Specifically, mean, standard deviation was used for descriptive statistics and spearman correlation for inferential statistics was utilized.
Results
As to the knowledge of the primary care physicians, this study showed that they are knowledgeable as to the definition and objectives of palliative care. The study able to assess factors affecting the provision of palliative care in five (5) domains. Among the domains it was noted that national, regional and local healthcare networking and healthcare team are perceived challenges in provision of palliative care among the primary care physicians of Ilocos Norte.
Palliative Care
;
Physicians, Primary Care
3.Medical advice for overseas travelers by primary care physicians.
Journal of the Korean Academy of Family Medicine 2000;21(10):1255-1268
No Abstract Available.
Humans
;
Physicians, Primary Care*
;
Primary Health Care*
4.Primary Care Physician.
Journal of the Korean Medical Association 1999;42(5):418-420
No abstract available.
Humans
;
Physicians, Primary Care*
;
Primary Health Care*
5.Overview of chronic fatigue syndrome for primary care physicians.
Journal of the Korean Academy of Family Medicine 2001;22(12):1717-1742
No abstract available.
Fatigue Syndrome, Chronic*
;
Humans
;
Physicians, Primary Care*
;
Primary Health Care*
6.Common Foot and Ankle Disorders for Primary Care Physician.
Journal of the Korean Academy of Family Medicine 2005;26(3):127-137
No abstract available.
Ankle*
;
Foot*
;
Humans
;
Physicians, Primary Care*
;
Primary Health Care*
7.Fibromyalgia, Overview for the primary care physician.
Journal of the Korean Academy of Family Medicine 2001;22(8):1189-1203
No abstract available.
Fibromyalgia*
;
Humans
;
Physicians, Primary Care*
;
Primary Health Care*
8.Primary Care Physician in Korea.
Journal of the Korean Academy of Family Medicine 2002;23(6):677-687
No abstract available.
Humans
;
Korea*
;
Physicians, Primary Care*
;
Primary Health Care*
9.Tremor; Treatment grideline for primary care physician.
Journal of the Korean Academy of Family Medicine 2001;22(11):1571-1580
No abstract available.
Humans
;
Physicians, Primary Care*
;
Primary Health Care*
;
Tremor*
10.Neurologic examination for primary care physicians.
Journal of the Korean Academy of Family Medicine 2001;22(4):424-446
No abstract available.
Humans
;
Neurologic Examination*
;
Physicians, Primary Care*
;
Primary Health Care*