影响预约率的人口,劳动力和组织特征:对初级保健的回顾性横截面分析
Tianchang Zhao1, Rachel Meacock1, Matt Sutton1
1Policy and Economics, School of Health Sciences, University of Manchester, Manchester.
概括
在英格兰,员工数量较高的一般实践处理了更多的任命,特别是在农村和贫困地区. 有证据表明员工被替换,但增加员工数量并不能提高任命速度.
科学领域:
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
- 初级保健管理管理初级保健管理
背景情况:
- 现在可以对英格兰的通用诊所任命量进行代表性分析.
- 影响任命活动率的因素需要详细调查.
研究的目的:
- 确定一般实践任命量变化的预测因素.
- 检查人口,劳动力和组织对任命率的影响.
主要方法:
- 对英格兰6284个普通实践的多变量横截面回归分析 (2022年8月至10月).
- 分析与人口特征,人员数量 (一般医生,护士,其他专业人员) 和组织因素有关的任命量和速度.
主要成果:
- 在农村实践和为更贫困人口服务的实践中观察到更高的任命量 (对于非GP任命).
- 每个全职同等 (FTE) 医生在3个月内与175个额外的预约相关;护士和其他专业人员与更高的增长相关 (367和218分别).
- 有证据表明,一般医生和其他专业人员在预约提供方面被替代;人员数量没有影响同一天或第二天预约的比例.
结论:
- 增加人员数量与更高的任命提供有关,但与更快的访问无关.
- 分析揭示了员工替代模式,并强调了服务于贫困和农村地区的实践中工作量增加.
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