Necessary level of skills and abilities of family physicians from decision-makers’ perspective in transitional Kosovo
Choose format
RIS BIB ENDNOTENecessary level of skills and abilities of family physicians from decision-makers’ perspective in transitional Kosovo
Publication date: 2013
Public Health and Governance, 2013, Volume 11, Issue 2, pp. 234-238
https://doi.org/10.4467/20842627OZ.14.020.1630Authors
Necessary level of skills and abilities of family physicians from decision-makers’ perspective in transitional Kosovo
Objective: The aim of this study was to assess the necessary level of abilities and competencies of family physicians from the decision-makers’ perspective in Kosovo, a post-war country in the Western Balkans.
Methods: Our study was conducted in May-July 2013 and included a nationwide representative sample of 100 decision-makers operating at different primary health care institutions or public health agencies in Kosovo (63 men aged 48.6±5.5 years, and 65 women aged 46.2±5.7 years). A structured self-administered questionnaire was employed aiming to assess the necessary level of skills, abilities and competencies of family physicians in Kosovo regarding different domains of the quality of health care. The questionnaire included 37 items organized into six subscales/domains. Answers for each item of the tool ranged from 1 (“novice” physicians) to 5 (“expert” physicians). An overall summary score (range: 37-185) and a subscale summary score for each domain were calculated for each participant. Cronbach’s alpha was used to assess the internal consistency of the instrument, whereas Mann-Whitney’s U-test was employed to assess sex-differences in the mean values of the summary score of 37-item instrument and the summary scores of each of the six subscales.
Results: The internal consistency of the whole scale (37 items) was Cronbach’s alpha=0.92. The summary score of the 37-item instrument was higher in men than in women (162.3±17.9 vs. 156.1±17.5, respectively, P=0.071). The subscale scores were all higher in men than in women, a finding which was borderline statistically significant for the “patient care and safety” domain only (33.4±4.4 vs. 32.0±4.0, respectively, P=0.057). There was a weak correlation between the overall summary score of the tool and the work experience of decision-makers (Spearman’s rho=0.234, P0.001).
Conclusion: In the context of Kosovo, this study provides important evidence on the expected skills and competencies of family physicians from the decision-makers’ viewpoint. Future studies in Kosovo should compare our findings related to the necessary skills and competencies vis-à-vis the actual self-perceived skills and competencies of family physicians.
Czabanowska K., Burazeri G., Klemens-Ketic Z., Kijowska V., Tomasik T., Brand H., Quality improvement competency gaps in primary care in Albanian, Polish and Slovenian contexts: A study protocol, “Acta Inform. Med.” 2012; 20: 254–258.
Sipkoff M., The new consensus favouring IOM’s definition of quality, “Manage Care” 2004; 13: 18–27.
Engels Y., Wollersheim H., Verheggen F., Grol R., Final Report “Education on the Quality of Care in the Faculties of Medicine, Biomedical Sciences and Health Sciences in the Netherlands”, Radboud University Nijmegen Medical Centre, Centre for Quality of Care Research, Njimegen 2007. Available from: http://www.wokresearch.nl/UserFiles/Docs/product_44.pdf; accessed: 28.08.2013.
Allen J., Gay B., Crebolder H., Heyrman J., Svab I., Ram P., The European definition of General Practice/Family Medicine, Evans P. (ed.), Wonca Europe; 2005. Available from: http://www.woncaeurope.org/Web%20documents/European%20Definition%20of%20family%20medicine/Definition%202nd%20ed%202005.pdf; accessed: 28.08.2013.
Michels N.R., Denekens J., Driessen E.W., Van Gaal L.F., Bossaert L.L., De Winter B.Y., A Delphi study to construct a CanMEDS competence based inventory applicable for workplace assessment, “BMC Medical Education” 2012; 12: 86.
Frank J.R., Danoff D., The CanMEDS initiative: implementing an outcomes-based framework of physician competences, “Medical Teacher” 2007; 29(7): 642–647.
Tomorrow’s Doctors, London: General Medical Council. Available at: http://www.gmcuk.org/static/documents/content/TomorrowsDoctors_2009.pdf; accessed: 20.08.2013.
Accreditation Council for Graduate Medical Education, Competences and Outcome Assessment. Available at: http://www.acgme.org/outcome/comp/compHome.asp; accessed: 20.08.2013.
Leach D.C., Changing education to improve patient care, “Quality in Health Care”2001; 10(Suppl. II): ii54–ii58.
Czabanowska K., Klemenc-Ketis Z., Potter A., Rochfort A., Tomasik T., Csiszar J., Vanden Bussche P., Development of the competency framework in quality improvement for Family Medicine in Europe: a qualitative study, “Journal of Continuing Education in the Health Professions” 2012; 32: 174–180.
Alla A., Czabanowska K., Klemenc-Ketis Z., Roshi E., Burazeri G., Cross-cultural adaptation of an instrument measuring primary health care users’ perceptions on competencies of their family physicians in Albania, “Med. Arh.” 2012; 66: 382–384.
Alla A., Czabanowska K., Kijowska V., Roshi E., Burazeri G., Cross-cultural adaptation of a questionnaire on self-perceived level of skills, abilities and competencies of family physicians in Albania, “Mater Sociomed.” 2012; 24: 220–222.
Information: Public Health and Governance, 2013, Volume 11, Issue 2, pp. 234-238
Article type: Original scientific article
Titles:
Necessary level of skills and abilities of family physicians from decision-makers’ perspective in transitional Kosovo
Published at: 2013
Article status: Open
Licence: None
Percentage share of authors:
Article corrections:
-Publication languages:
EnglishView count: 3430
Number of downloads: 1292