Category | Concepts |
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Competency of general practitioners in urban areas | • Demonstration of comprehensive care ability depending on conditions • Integration of fragmented care in urban areas • Active involvement in patients who received fragmented care • Comprehensive care for minority group, a characteristic of each region of urban areas • Understanding various occupations/lifestyles in urban areas • Formation of agreements with patients with various values in urban areas • Judgment for appropriate hospital introduction according to the patient situation • Efforts for regional collaboration on emergency medicine issues in urban areas • Collaboration with various medical care and welfare personnel • Communication with nonresident family members |
Context of general practitioners in urban areas | • Relatively narrow scope of biomedical care • Patients’ selective care-receiving behavior in urban areas • Segmented healthcare services in urban areas • Unclear responsibility regarding care • Confusion about what being a general practitioner in urban areas means • Diversity of socioeconomic regional characteristics in an urban area • Various occupations/lifestyles in urban areas • Relatively high healthcare needs in urban areas • Sense of difficulties in understanding different medical resources • Quality differences in medical care among physicians/hospitals in urban areas • Emergency medicine issues in urban areas • Difficulties in comprehensive local community care • Diversity of local medical care and welfare professionals • Lack of face-to-face relationships in medical care and welfare collaboration in urban areas • Lack of mutual help function around patients in urban areas • Long physical/psychological distance between workplaces and homes • Lack of visibility of families and affiliated communities |
Competency of general practitioners in non-urban areas | • Broad biomedical care scope • Responsibility of doctors as limited medical resources • Judgment to make effective use of limited medical resources • Care collaborating with local communities • Ability to build appropriate human relationships with residents |
Context of general practitioners in non-urban areas | • Clarity of responsibility of care • Ease of maintaining interpersonal continuity • Ease of acquiring identity as a family physician in non-urban areas • Regional differences in medical care-receiving behaviors in non-urban areas • Limited medical resources • A sense of understanding medical care skills of surrounding medical institutions and individual physicians • Face-to-face relationships in healthcare collaboration • Ease of grasping local communities • Face-to-face relationships in medical care and welfare cooperation • Physical/psychological proximity between workplaces and homes • High visibility of patient/family background |
Common competency of general practitioners in urban/non-urban areas | • Biomedical care ability • Comprehensiveness of medical care according to place and situation of medicine • Medical care for patients with multiple diseases • Healthcare workers as support roles in each patient’s life • Necessity of decision-making based on patient background • Connection role in community healthcare • Division of labor/collaboration with subspecialists in hospitals • Creation of social resource networks for community care • Familiar advisors |