Table 1.
Guidelines for FGD
| Physicians | Patients | |
|---|---|---|
| Icebreaking | • Motivation and satisfaction about opening clinics | • Personal health condition and usage of clinics |
| The key components of primary care | First contact | |
| • Do you think patients are more likely to contact secondary and tertiary hospitals than primary care? | • Do you have a favorite clinic to go to when you are sick or need medical consultation? If not, how do you feel? | |
| • Do you think your clinic is ready to provide sufficient primary care? | • If you just found out that one of your family members has chronic disease, where would you take her/him to? | |
| Accessibility | ||
| • How do you operate your medical consultation other than daily schedules? (e.g., consultation at nights, weekends, or holidays). If not, why? | • Do you think clinics in your neighborhood provide sufficient daily hours for medical services? | |
| • Have you ever made a reservation for medical services at the clinics in your neighborhood? | ||
| • Have you ever had a medical consultation via phone call? | ||
| • Do you think your payment for the medical services in your neighborhood clinics is appropriate? | ||
| • Have you ever been denied by your neighborhood clinics? | ||
| Coordination | ||
| • Have you ever referred your patients to secondary or tertiary hospitals? When? Why or why not? How? | • When you have health problems, do you have any issues when you decide the types of clinics you should go to? And departments of the clinics you should go to? | |
| • Have you ever referred your patients to community healthcare centers, other healthcare providers, or other community-based organizations except the clinics? | • Have you ever asked for medical treatment requests to your neighborhood clinics? | |
| • How well do you coordinate medical services for your patients? | • Have you ever been referred to other clinics or community health service providers/centers? | |
| • What resources and actions do you need for improving the coordinating role of primary care? | ||
| Comprehensiveness | ||
| • What are your ranges of treatments, diagnoses, and operations you provide to your patients? | • Have you ever received medical examination or cancer screening at your neighborhood clinics? | |
| • How do you educate your patients in terms of their healthy life style such as: Do you know the range of medical services that the neighborhood clinic can provide you with? For example, ranges of treatments, diagnoses, and operation | • Have you ever participated in education for health behaviors at your neighborhood clinics? What are your thoughts on such education? | |
| Continuity | ||
| • How do you manage your patients with chronic diseases for regular checkup and treatments? | • When you have similar symptoms, do you visit the clinic that you usually use, or do you visit several clinics? | |
| • Have you ever asked for medical records from your patients for appropriate medical treatments to understand their medical history and information for treatments? | • How do your neighborhood clinics know your medical history and medical information? | |
| Primary care issues in current policy | • What do you think about | • What do you think about |
| ○ Double count system for working on a closed Saturday | ○ Health cooperative | |
| ○ Chronic disease management system | ○ Family doctor registration program | |
| ○ Jointly run clinics | ○ Chronic disease management system | |
| ○ Other strategies to improve primary care | ○ Other strategies to improve the primary care | |