Family Medicine Commons^™

Japanese Patients' Preference For Patient-Centered Medicine And Its Association With The Satisfaction Of Patients With Their Family Physicians, Tesshu Kusaba

Electronic Thesis and Dissertation Repository

Aims: This thesis explored Japanese patients’ preference for Patient-centered medicine, which was one of the core principles of family medicine, and its association with the satisfaction of patients with their family physicians.

Method: A cross-sectional study was conducted to examine Japanese patients’ preference for 3 factors of Patient-centered medicine and their satisfaction with the practice by family physicians, using patient questionnaires pre and post consultation.

Findings: The majority of Japanese patients preferred all 3 of the factors of Patient-centered medicine: Communication, Partnership and Health Promotion. The more vulnerable the patients, the more their expressed preference. A high proportion of patients …

Measuring Multimorbidity, Eng Sing E S Lee

Electronic Thesis and Dissertation Repository

Multimorbidity is common. The gaps in multimorbidity research are in the measurement of the prevalence, the levels of multimorbidity and its associated outcomes.

This thesis aimed to provide a uniform definition for multimorbidity, identify instruments for measuring the level of multimorbidity, and describe patient-reported outcomes for different levels of multimorbidity.

Three studies were conducted. The first determined the prevalence rates of multimorbidity and explored whether there were differences among the different age, gender and ethnic groups in the primary care population. Common dyads and triads of conditions were described. The systematic review updated the list of instruments for measuring the …

Family Physician's Clinical Inertia In The Management Of Hypoglycemia, Caroline V. Martignoni Rebicki

Electronic Thesis and Dissertation Repository

Though the management of diabetes is widely documented in scientific literature, little is published about how hypoglycemia is managed by family physicians. The objective of this study was to create a measurement for family physician clinical inertia in managing hypoglycemia, and to determine family physicians’ characteristics associated with clinical inertia. The design was a secondary analysis of the data provided by 162 family physicians from the Canadian InHypo-DM Study. The outcome for this thesis was a score for physician clinical inertia. The methods applied were exploratory factor analysis, bivariate analysis and multiple linear regression. Results showed no statistically significant differences …