加拿大家庭医生的实践意图和模式的比较
Monica Aggarwal1, Alixandra Holtby2, Steve Slade2
1Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Family medicine
|July 13, 2023
概括
家庭医学医生打算广泛实践,但早期职业生涯的医生对综合家庭医学活动的参与度较低. 毕业生需要得到支持,以满足他们预期的实践范围.
科学领域:
- 医学教育 医学教育
- 家庭医学 家庭医学 家庭医学
- 实践的范围 实践的范围
背景情况:
- 加拿大的基于能力的医学教育旨在为家庭医学毕业生提供广泛的实践范围.
- 这项研究将毕业生住院医生的预期实践范围与早期职业生涯家庭医生的实际实践模式进行比较.
研究的目的:
- 为了比较毕业家庭医生居民的实践意图与早期职业生涯家庭医生的实际实践模式.
- 确定实践活动范围的预期和实际参与之间的差异.
主要方法:
- 在退出家庭医学专科医生 (2015-2016) 和早期职业生涯的家庭医生 (2018-2019) 中进行了横截面调查.
- 收集关于计划和实际参与15个家庭医学领域实践范围的数据.
- 统计分析用于比较意图与实践模式.
主要成果:
- 在住院人员的预期参与与医生实际参与实践活动范围之间观察到很高的相关性 (r2=0.95).
- 然而,职业生涯早期的家庭医生报告说,与他们的意图相比,在15个实践领域中的14个领域的参与程度明显低.
- 在实践中,在长期设施,农村地区,急诊室,产前护理和土著人口的护理方面出现了最大的下降.
结论:
- 虽然实践意图与实践模式的范围保持一致,但职业生涯早期的医生不太可能按照预期提供全面的护理.
- 需要进一步的研究,以了解影响实践模式的因素,并支持毕业生提供全面的家庭医学.
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