Reentrenamiento de los médicos para la atención primaria. Un estudio de las perspectivas de los médicos y el desarrollo de programas de desarrollo
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I Jacoby1, N E Gary, G S Meyer
1Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Md 20814-4799, USA. ijacoby@usuhs.mil
JAMA
|May 21, 1997
Resumen
Pocas escuelas de medicina y organizaciones de atención administrada ofrecen programas de reciclaje para especialistas para practicar la atención primaria. El interés de los médicos en el reciclaje sigue siendo bajo, con programas que no cumplen con sus preferencias.
Área de la Ciencia:
- Educación médica y educación médica.
- Política de la fuerza laboral en salud Política de la fuerza laboral en salud.
- Formación de Médicos de Atención Primaria para la Formación de Médicos de Atención Primaria.
Sus antecedentes:
- Una escasez percibida de médicos generalistas provocó el interés en el reciclaje de especialistas.
- Se encuestó a las escuelas de medicina y a las organizaciones de atención administrada con respecto a las iniciativas de reciclaje.
Objetivo del estudio:
- Evaluar la disponibilidad y la naturaleza de los programas de reciclaje para médicos especialistas.
- Comprender las actitudes de los médicos hacia el reciclaje para la práctica de la atención primaria.
Principales métodos:
- Una encuesta nacional de 1994 de escuelas de medicina y organizaciones de atención administrada.
- Grupos focales con médicos para explorar las actitudes hacia el reciclaje.
- Análisis de la demanda de médicos para programas de reciclaje.
Principales resultados:
- Existieron pocos programas de reciclaje, aunque muchos fueron considerados.
- Los médicos prefirieron el reciclaje barato, local y práctico con bases de pacientes ampliadas.
- Los programas existentes y planificados a menudo no incorporaron las preferencias de los médicos.
Conclusiones:
- El interés de los médicos y la disponibilidad de programas para el reciclaje de especialistas en atención primaria siguen siendo bajos.
- Los programas de reciclaje no fueron diseñados para atraer a los médicos interesados.
- Las percepciones cambiantes de la fuerza laboral de médicos generalistas redujeron la urgencia de la reciclaje.
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