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(1) Department of Family Medicine, Aga Khan University, Karachi, Pakistan (2) Director General, Executive Board, Health Ministers’ Council for Cooperation Council States (3) Professor of Public Health, Director, WHO Collaborating Centre, Department of Primary Care and Public Health, School of Public Health, Faculty of Medicine Imperial College London, UK (4) University of Dammam, Saudi Arabia (5) Department of Family & Community Medicine, Arabian Gulf University, Bahrain (6) Vice Dean for Clinical Affairs, Oman Medical College, Sultanate of Oman (7) Family Physician, Bahrain (8) Department of Family Medicine, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia (9) Department of Family Medicine, Cairo University, Egypt (10) Associate Professor of Community and Family Medicine. Senior Consultant Family Physician. Dubai (11) Family Physician, Amman, Jordan (12) Head of the Primary Health Care Faculty at the Kuwait Institution for Medical Specialization. (13) Assistant Program Director in Family Medicine Residency Program, Qatar. (14) Chair Person of Egyptian Family Medicine Association and Faculty of Medicine, Menoufiya University, Shebin El-Kom, Menoufia, Egypt

(1) Department of Family Medicine, Aga Khan University, Karachi, Pakistan (2) Director General, Executive Board, Health Ministers’ Council for Cooperation Council States (3) Professor of Public Health, Director, WHO Collaborating Centre, Department of Primary Care and Public Health, School of Public Health, Faculty of Medicine Imperial College London, UK (4) University of Dammam, Saudi Arabia (5) Department of Family & Community Medicine, Arabian Gulf University, Bahrain (6) Vice Dean for Clinical Affairs, Oman Medical College, Sultanate of Oman (7) Family Physician, Bahrain (8) Department of Family Medicine, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia (9) Department of Family Medicine, Cairo University, Egypt (10) Senior Specialist Family Physician, Baghdad, Iraq (11) Family Physician, Amman, Jordan (12) Head of the Primary Health Care Faculty at the Kuwait Institution for Medical Specialization. (13) Assistant Program Director in Family Medicine Residency Program-Qatar.

Background: Family Medicine is growing rapidly across the Eastern Mediterranean Region. However, it needs support in terms of overall health system development. This will require strong leadership in family medicine to implement the change required to improve current conditions. Objective: To collect data that will support the development of a leadership program for the future family physicians in the region. Methods: A cross-sectional study was conducted from July 2016 to September 2016 in eight countries of the Eastern Mediterranean Region, (Bahrain, Egypt, Iraq, Jordan, Kuwait, Qatar, Pakistan, and Saudi Arabia). These countries were selected to obtain perceptions of Family Physicians (FPs) regarding the current leadership model and to explore the need for a new future innovative model in Family Medicine (FM) across the region. Results: The information of 68 family physicians was included in the final analysis. The majority of the FPs was females as compared to males (71% vs. 29%). Forty-four percent of the FPs had 10 to 19 years of experience. Almost all of the FPs (96%) had completed some training in family medicine after graduation. About three fifths of the FPs had completed postgraduate qualifications and out of those, 64% had passed Board or Membership Examinations. Twenty-one percent of them are currently in a leadership role and 45% who were not in any leadership role responded that the current situation of FM in their country is poor. All of the leaders believed that it is important to develop strong leadership in FM to take the specialty forward. Almost similar proportions (67% and 64%) of leaders and non-leaders thought that establishing regional associations would enhance the FM practice model. Approximately two thirds of leaders (67%) responded that the current role of decision makers in the Ministry of Health (MOH) regarding capacity building in FM is not effective. The majority of the FPs (54% and 38%) considers that the existing postgraduate curriculum does not address leadership skill development in FM. Eighty-eight percent of the FPs both from leadership and non-leadership groups agreed that academic institutions and practicing FPs can play an effective leadership role in taking FM forward. Conclusion: The Family Medicine specialty will have to develop leadership capabilities in line with today’s fast-moving changes in healthcare for it to obtain the due recognition in the healthcare delivery system.

Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR).Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practicing for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19.Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of the physicians, preferred a person-centered care model of care. Among physicians, field of specialization (AOR= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (AOR= 0.3; 95% C.I: 0.1-0.5) were significant factors for preferring a person-centered care model. Educational status (AOR= 3.0; 95% C.I: 1.1-7.9) was associated with a preference for person-centered care among patients.Conclusion: The results of the study highlight that a majority of physicians prefer person-centered care, while patients prefer a mix of both patient- and physician-centered care. Strategies should be developed that will help physicians and patients to embrace person-centered care practices.