Article Figures & Data
Figures
- Figure 1. Tag cloud for General Practice/Family Medicine.
- Figure 2. Tag cloud for Primary Health Care.
Tables
General Practice/Family Medicine definitions Primary Health Care definitions Leeuwenhorst definition (1974) 9 Institute of Medicine (1996) 10 AAFP primary care physician definition (US) (1977) 11 PAHO primary health care statement (Pan America) (2007) 12 AAFP family medicine definition (US) (1984) 13 EU expert panel definition of primary care (2014) 14 Olesen’s proposal for a new definition of general practice (2000) 15 Brazil: organisation of primary health care (2013) 16 WONCA dictionary (2003) 2 WHO glossary (2016) 17 WONCA Europe / EURACT definition (2011) 18 PHCRIS (Australia) (2015) 19 CIMF Carta de Quito definition (Latin America) (2014) 20 FMMCSF (Belgium) (2016) 21 The Role Definition Group definition (US) (2014) 22 AHRQ Primary Care Medical Home model (US) (2016) 23 NBE definition (India) (2015) 24 FFMPS (France) (2016) 25 AAFP Primary Care Physician (2016) 11 AAFP Primary Care (US) (2016) 11 AAFP = American Academy of Family Physicians. AHRQ = Agency for Healthcare Research and Quality. CIMF = Confederación Iberoamericana de Medicina Familiar / Iberoamerican Confederation of Family Medicine. EU = European Union. FMMCSF = Fédération des Maisons Médicales et des Collectifs de Santé Francophone / Federation of Medical Homes and French-speaking Health Centres. FFMPS = Fédération Française des Maisons et Pôles de Santé / French Federation of Housing and Health Centers. NBE = National Board of Examination. PAHO = Pan American Health Organisation. PHCRIS = Primary Health Care Research and Information Service. WHO = World Health Organization. WONCA = World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians.
What unites Listed at least three times in both sets
Care, health, patient, service, family, community, health care, system, prevention, doctor, population, needs, provision, junction. What separates Listed at least three times only in GP/FM set
Medicine, responsibility, individual, general practitioner, sex, illness, disease, problem, peculiarity, specialist, factor, management, science, basis, age, resource, point. Listed at least three times only in the PHC set
Home, team, promotion, person, part, activity, health professional, righteousness, nurse, majority, action, professional, partnership, access, level, improvement, time, insurance, collaborator, engagement, neighbourhood, medical centre. - Box 3. Analysis of the distribution of the main terms of the 10 definitions of GP/FM and PHC according to Aristotle's categories of things.
Aristotelian categories Greek and Latin translations Question General Practice/Family Medicine words Primary Health Care words Essence οὐαία (ousia) Quod est? Essentia What is it? Essence or substance? Licensed medical graduate who provides care, specialty charterised by breadth, primary care services, take care, promotion of health, prevention of disease, early diagnosis, initial decision, provision of clinical care, rehabilitation, palliative care, education, research Clinician provides healthcare services, care, health, prevention, promotion, first-contact primary care, intersectoral action, health promotion, illness prevention, treatment and care of the sick, community development, rehabilitation Quantity Πoσόν (poson) Quantum, Quatitas How much, how many, how tall? General, every, both sexes, all age, irrespective of age, each organ system, every disease entity, repeated contacts, entire family Large majority, any, set, variety, every family, entire population Quality Ποιόν (poion) Quale Qualitas How is it? What kind or quality? Personal, access, available, comprehensive, effective, necessary, personal, respecting autonomy, safety, satisfaction, sustainability Universal coverage, comprehensive, integrated, person-centred, accessible, socially appropriate, critical, effective, scientifically sound, include, partner, professional, specifically, undiagnosed, undifferentiated, whole-person care Relation πρός τι (pros ti) Relativum What is it related to? Towards something? In the context of their family, their community, and their culture, family doctor, general practitioner, individual, population, undifferentiated patient, cultural diversity Multiprofessional health teams, partnership, patient, caregivers, population, family, communities, local network Place ποῦ (pou) Ubi Where? Where necessary, at the point of first contact, entry point, in the front line, consulting room, homes, acute and chronic care settings Set of functional and structural elements, home, office, setting, coverage area, geographic, territory Time Πότε (pote) Quando When? First contact, prolonged contact, continuing, repeated, maintaining, always, preventing, chronic, recurrent, terminal First contact, first level, over time, prevention, primary, continuing, acute, chronic, limited, long term Posture
κεῖσθαι (keisthai)
SituFrom what action does it result? Autonomy, balance, basis, clinical, contact, cultural, disease, existential, health, illness, needs, self, physical, biomedical, psychological, social and behavioural sciences Autonomy, behavioural, biological, communication, concern, consultation, contact, disease, health, illness, organ, problem, sign, social, symptom, living conditions, health risks, health status, health inequalities State
ἔχειν (echein)
HabitusWhat is it required to have or be? Socially responsible, reliable, leader, professional, advocate, trust, knowledge, personal balance and value Equity enhancing, responsible, concern, accountable, cost, role, professional, self-reliance, participation and control, advocacy, social justice, equity, solidarity Action
ποιεῖν (poiein)
AgereWhat is it doing?
(change), to make or doProvide, train, integrate, intervene, promote, maintain, prevent, serve, manage, practice, define, optimise, negotiate, coordinate, monitor, devote, gather information, organise, assist Perform, participate, measure, utilise, monitor, understand, reorganise, maximise, collaborate, assess, inform, integrate, gather, encourage, enable Passion
Πάσχειν (paschein)
PatiHow is it being acted on (be changed)? Must be trained, developing and maintaining their skills, personal balance and values, discipline, professional role Accomplish, appropriate, perform, skilled, trained
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Analysis of definitions of general practice, family medicine, and primary health care: a terminological analysis
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