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Evolving Core Values In Family Medicine Across Regions: A Global Scoping Review.

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Evolving Core Values In Family Medicine Across Regions: A Global Scoping Review.

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Evolving core values in family medicine across regions: a global scoping review.

Jia Hua Low¹, Justin Wei Jun Ng², Shu Yun Tan³

¹National Healthcare Group Polyclinics, NHG Health, Singapore, Singapore.

BMC Primary Care

|December 24, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Family Medicine (FM) core values are universal yet adapt globally. This review shows how geopolitical and resource contexts shape interpretations, with new values like sustainability emerging for relevance.

Keywords:

Core values Family medicine Professional identity Social accountability Sustainability

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Area of Science:

Family Medicine Research
Global Health Values
Healthcare Systems Analysis

Background:

Family Medicine (FM) core values are foundational to clinical practice, education, policy, and research.
While universal FM principles exist, their interpretation and application vary significantly across diverse global contexts and over time.

Purpose of the Study:

To systematically review and analyze the evolving core values of Family Medicine (FM) from international literature.
To identify common themes, variations, contextual influences, and emerging values in FM.

Main Methods:

A scoping review methodology was employed, systematically examining diverse international literature.
Twenty-one relevant studies were included to analyze evolving FM values.

Main Results:

Traditional FM values like person-centered care, continuity, comprehensiveness, and coordination persist but are interpreted differently based on geopolitical and healthcare structures.
High-income regions emphasize relational care and advocacy, while lower-resourced areas prioritize accessibility and team-based leadership.
Emerging values include sustainability, complexity management, and social accountability, reflecting global concerns for equity and well-being.

Conclusions:

Family Medicine values present a dynamic landscape, balancing universal principles with local adaptations.
Value frameworks must be globally informed yet locally relevant to guide FM education, policy, and research.
Clear articulation of FM values is crucial for maintaining professional identity and healthcare responsiveness.