加拿大家庭医生提供的服务全面性的变化:分析了4个省份基于人口的链接数据
M Ruth Lavergne1, David Rudoler2, Sandra Peterson3
1Associate Professor in the Department of Family Medicine at Dalhousie University in Halifax, NS, and holds a Tier II Canada Research Chair in Primary Care. ruth.lavergne@dal.ca.
Canadian family physician Medecin de famille canadien
|August 15, 2023
概括
加拿大的家庭医生在各种环境和领域提供更少的综合服务. 这种下降在专业护理环境中更为明显,影响了具有较长实践经验的医生,男性和城市环境中的医生.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 医疗保健服务研究 医疗服务研究
- 加拿大医疗保健政策加拿大医疗保健政策
背景情况:
- 家庭医生服务对于提供初级医疗保健至关重要.
- 了解服务全面性的变化对于医疗保健规划至关重要.
研究的目的:
- 分析加拿大家庭医生提供的服务范围的变化.
- 确定特定的服务设置和具有最显著变化的领域.
- 根据医生人口统计和实践特征来比较这些变化.
主要方法:
- 来自加拿大四个省份的基于人口的计费数据的描述性分析.
- 与医生和人口登记册相关的数据为1999-2000财年和2017-2018财年.
- 衡量7个服务设置和7个基于办公室的实践领域的全面性.
主要成果:
- 在所有被研究的省份中,服务全面性的持续下降被观察到.
- 与基于办公室的实践领域相比,在专业服务环境中减少的幅度更大.
- 老年人,男性和城市执业的医生在提供服务数量方面出现了最大的下降.
结论:
- 该研究强调了全国范围内的家庭医生服务全面性下降的趋势.
- 这些变化表明,影响家庭医学的实践环境和政策影响正在不断变化.
- 需要进一步的研究来了解对初级医疗保健提供的影响.
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