医療従事者の初等医療に対する再訓練を行う. 医者の視点とプログラム開発に関する研究
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
まとめ
医療専門学校やマネージドケア機関が,初等医療の専門医に再教育プログラムを提供するのはほとんどない. 医者の再教育への関心は低いままであり,医者の好みを満たさないプログラムがある.
科学分野:
- 医療教育 医療教育について
- 保健労働力政策 保健労働力政策
- プライマリーケア医の研修 プライマリーケア医の研修
背景:
- 一般医の不足が感知され,専門医の再訓練への関心が高まりました.
- 医療専門学校やマネージドケア組織は,再教育イニシアチブに関する調査を行いました.
研究 の 目的:
- 専門医のための再教育プログラムの可用性と性質を評価する.
- 医療従事者の再教育に対する医師の態度を理解する.
主な方法:
- 1994年の医学部とマネージドケア組織の全国調査.
- 医師とのフォーカスグループで,再教育に対する態度を探求する.
- 再教育プログラムに対する医師の需要の分析.
主要な成果:
- 再教育プログラムはほとんど存在しなかったが,多くは検討された.
- 医者は,低コストで,現地で,実践的な再訓練を好み,患者ベースを拡大した.
- 既存のおよび計画されたプログラムは,しばしば医師の好みを組み込むことに失敗しました.
結論:
- 医療従事者の関心と,初等医療の専門家の再教育のためのプログラムの可用性は低いままです.
- 再訓練プログラムは,興味のある医師を惹きつけるために設計されたものではありませんでした.
- 一般医の労働力に対する認識の変化は,再訓練の緊急性を減少させた.
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