Self-perceived level of competencies of family physicians in transitional Kosovo

Authors

  • Fitim Skeraj Principal Family Medicine Center, Prizren, Kosovo; University of Medicine, Tirana, Albania;
  • Katarzyna Czabanowska Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands; Institute of Public Health, Faculty of Health Sciences, Jagiellonian University, Medical College, Krakow, Poland.
  • Gazmend Bojaj University of Medicine, Tirana, Albania;
  • Genc Burazeri University of Medicine, Tirana, Albania; Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands;

DOI:

https://doi.org/10.4119/seejph-1785

Keywords:

competencies, family physicians, general practitioners, primary health care

Abstract

Aim: Family physicians and general practitioners are currently facing increasing demands to meet patients’ expectations and rapid technological and scientific developments. The aim of this study was to determine the self-perceived level of competencies of primary health care physicians in Kosovo, a post-war country in the Western Balkans.

Methods: A cross-sectional study was conducted in Kosovo in 2013 including a
representative sample of 597 primary health care physicians (295 men and 302 women; mean age: 46.0±9.4 years; response rate: 90%). A structured self-administered questionnaire was used in order to determine physicians’ competencies regarding different domains of the quality of health care. The questionnaire included 37 items organized into six subscales/domains. Answers for each item of the tool ranged from 1 (“novice” physicians) to 5 (“expert” physicians). An overall summary score (range: 37-185) and a subscale summary score for each domain were calculated for each participant. General linear model was used to assess the association of physicians’ self-perceived level of competencies with covariates.

Results: The internal consistency of the whole scale (37 items) was Cronbach’s alpha=0.98. Mean summary score of the 37-item instrument and subscale summary scores were all higher in men than in women. In multivariable-adjusted models, mean level of self-perceived competencies was higher among older physicians, in men, those with >10 years of working experience, physicians serving >2500 people, specialized physicians and those involved in training activities.

Conclusion: Our study provides useful evidence on the self-assessed level of competencies of primary health care physicians in post-war Kosovo. Future studies in Kosovo and other transitional settings should identify the main determinants of possible gaps in self-perceived levels of physicians’ competencies vis-à-vis the level of physicians’ competencies from patients’ perspective.

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Published

2015-12-03

How to Cite

Skeraj, F., Czabanowska, K., Bojaj, G. and Burazeri, G. (2015) “Self-perceived level of competencies of family physicians in transitional Kosovo”, South Eastern European Journal of Public Health (SEEJPH). doi: 10.4119/seejph-1785.

Issue

Section

Original Research