Family Medicine

Preliminary Course

Matei Dumitru MD, PhD

UMF Carol Davila
Family Medicine Department
 History (1)

Family practice arose during 1950s coincided

with a decline in access to broad-based health
care in the US
In response, they created a physician who
specialized in personal health care the family
physician.
 History (2)

-Netherlands-1942 the pacient was seen by the

GP/FM, then by other specialist
-UK-1952 was founded The Royal College of
GP
 History (3)
Wonca is an unusual acronym comprising the
first five initials of the World Organization of
National Colleges, Academies and Academic
Associations of General Practitioners/Family
Physicians.
Wonca is made up of national colleges,
academies or organizations concerned with the
academic aspects of general family practice.
Beginning with 18 members in 1972, there
are now 120 member organizations in 99
countries. The total membership of the
member organizations of Wonca is over
250,000 general practitioners/family
physicians.
 History (5)

Romania in 1991 was founded Societatea

Nationala de Medicina Familiei
All candidates for specialty certification must
be graduates of approved 3-year FM residency
programs.
 Definition (WONCA 2011)

General practice/family medicine is

an academic and scientific discipline,

with its own educational content,

research,
evidence base and
clinical activity,

a clinical specialty orientated to primary care.

 The main factors which
contributed to the promotion of
FM
1. Biological factors
2. Medical factors
3. Organizational factors
4. Economical factors
5. Psychological factors
 Biological factors

- cell-tissue-sistem-person(pacient)
- ecosystem (ground, water, light, temperature)
- social and familial environment
 Medical factors

Onset of diseases (many atypical)

Chronic diseases

Side effects of the different drugs

 Organizational factors

The GP/FM is in every village, but the

hospital/clinic is not

The discontinuity of secondary medical

assistance
 Economical factors

Secundary medical assistance is more

expansive
Investment in FM process at communitary
level is more efficiency , more acceptable
and more supporting than other promotion
roads of health.
 Psychological factors

Illness behaviour and patterns of disease

are varied by many of these issues and
much unhappiness is caused by
interventions which do not address the root
cause of the problem for the patient.
Family Medicine
 The characteristics of the
discipline of family medicine
1) is normally the point of first medical contact
within the health care system, providing open
and unlimited access to its users, dealing with
all health problems regardless of the age, sex,
or any
other characteristic of the person concerned.
 The characteristics of the
discipline of family medicine
2) makes efficient use of health care resources
through co-ordinating care, working with
other
professionals in the primary care setting, and by
managing the interface with other specialities
taking an advocacy role for the patient when
needed.
 The characteristics of the
discipline of family medicine
3) develops a person-centred approach,
orientated to the individual, his/her family,
and their community
4) promotes patient empowerment
5) has a unique consultation process, which
establishes a relationship over time, through
effective communication between doctor and
patient
 The characteristics of the
discipline of family medicine
6)is responsible for the provision of longitudinal
continuity of care as determined by the needs
of the patient
7)has a specific decision making process
determined by the prevalence and incidence of
illness in the community
 The characteristics of the
discipline of family medicine
8)manages simultaneously both acute and
chronic health problems of individual patients
9)manages illness which presents in an
undifferentiated way at an early stage in its
development, which may require urgent
intervention
10)promotes health and well being both by
appropriate and effective intervention
 The characteristics of the
discipline of family medicine
11)has a specific responsibility for the health
of the community
12)deals with health problems in their
physical, psychological, social, cultural and
existential dimensions
13)a critical and research based approach to
practice
 The functions of the family
medicine (1)
1. access to the health care system
2. monitoring of population health
3. primary, secondary, tertiary prevention
4. special prevention
5. curative medical care
6. managing the interface with other specialities
7. diagnostic and therapeutic synthesis
 The functions of the family
medicine (1)

8. co-ordinating care of the pacient

9. continuous medical care
10. health of the family care
11. health of the community care
12. rehabilitation and recovery care
13. palliative health care
14. research
 Bibliography

1. Dumitru MATEI, Essential of Family

Medicine, Editura Amaltea 2011
2.http://www.woncaeurope.org