[Family physician: problems and realities]

Area of Science:

• Medical Practice and Health Services Research
• Public Health Policy

Background:

• Review of international family physician service models.
• Analysis of existing healthcare structures in relation to primary care.

Purpose of the Study:

• To outline the scope and duties of a family physician.
• To propose adjustments for rural and urban healthcare settings.
• To identify prerequisites for implementing a family physician system.

Main Methods:

• Literature review and synthesis of international experiences.
• Conceptual analysis of the family physician's role and responsibilities.
• Identification of systemic changes required for implementation.

Main Results:

• The family physician should be a skilled internist with social/psychological insight, focusing on prophylaxis and regular check-ups.
• The role requires adaptability to both rural and urban environments.
• Implementation necessitates revising industrial, school, and outpatient services, alongside medical staff training.

Conclusions:

• The family physician model offers a comprehensive approach to primary care.
• Successful adoption requires extensive research and adaptation of current healthcare principles.
• Significant revisions in healthcare services and medical education are essential for integration.