Abstract

Family medicine is officially a specialty, but is often not regarded as a specialty by the general public. Past studies have usually investigated the opinions of medical students and resident physicians regarding family medicine, whereas few have focused on practicing family physicians themselves, especially in terms of analyzing how they represent themselves. This study aimed to investigate the patterns of clinic names to better apprehend whether general practitioners see themselves as being on an equal footing with other medical specialists. The registered names, medical specialties, and levels of urbanization of all clinics of Western medicine in Taiwan were collected. For clinics of each specialty, we examined whether their names contained the corresponding specialty designation. For example, a family medicine clinic was checked to determine whether its name contained the term “family medicine” or its abbreviation. The naming of family medicine clinics was then compared with that of clinics with other specialties. Of the 9867 Western medicine clinics included in this study, two-thirds (n = 6592) were single-specialty clinics. In contrast to the high percentages of single-specialty clinics of other specialties with specialty-containing names (97.5% for ophthalmology, 94.8% for dermatology, and 94.7% for otolaryngology), only 13.3% (132/989) of the family medicine clinics had such names. In addition, the urban family medicine clinics had a higher proportion (15.2%, 74/487) of specialty-containing names than the suburban (12.6%, 44/349) and rural family medicine clinics (9.2%, 14/153). Overall, a low percentage of family medicine clinics in Taiwan included “family medicine” in their names. This issue of professional identity deserves further qualitative investigation.

Highlights

  • Medicine officially became a medical specialty around thirty years ago in many countries, such as the United States and Canada [1,2]

  • We aimed to investigate the patterns of registered names for family medicine clinics in comparison with those of clinics with other specialties in Taiwan

  • This study could provide a picture of the issue of professional identity faced by family physicians in Taiwan

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Summary

Introduction

Medicine officially became a medical specialty around thirty years ago in many countries, such as the United States and Canada [1,2]. Medicine specialists, who are generally known as “family physicians” or “family doctors,” provide comprehensive primary healthcare to patients and act as gatekeepers to the healthcare system. Family physicians are sometimes regarded as generalists as opposed to specialists in a narrow sense [3,4]. Res. Public Health 2020, 17, 4062; doi:10.3390/ijerph17114062 www.mdpi.com/journal/ijerph

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