"在一个重要的地方":那些在土著卫生服务中工作和不工作的全科医生
Shaun Prentice1, Alexandra Barrett2, Jill Benson3
1<institution content-type="university">School of Psychology, Faculty of Health and Medical Sciences, The University of Adelaide</institution>, <city>Adelaide</city>, <state>SA</state> <postal-code>5005</postal-code>, <country>Australia</country>; and <institution content-type="university">General Practice Training Research Department</institution>, <institution content-type="university">The Royal Australian College of General Practitioners</institution>, <city>Melbourne</city>, <state>Vic.</state>, <country>Australia</country>.
很少有全科医生选择从事土著和托雷斯海峡岛民健康的职业. 这项研究发现,积极的障碍管理和外部视角有助于全科医生留在原住民医疗服务 (AMS) 中.
科学领域:
- 医学教育 医学教育
- 土著健康土著健康
- 一般实践培训一般实践培训
背景情况:
- 有数量有限的全科医生 (GPs) 在土著和托雷斯海峡岛民健康领域从事职业生涯.
- 研究调查了影响澳大利亚全科医生培训计划 (AGPT) 毕业生决定留在或离开原住民医疗服务 (AMS) 的因素.
研究的目的:
- 确定AGPT毕业生在AMS工作的关键动机和障碍.
- 了解影响在原住民卫生环境中保留和消耗全科医生的因素.
主要方法:
- 半结构面试与留在 (n=11) 和离开 (n=9) AMS安置的AGPT毕业生进行.
- 以理论为指导的专题分析被用来分析来自两项研究的采访数据.
主要成果:
- 对于AMS实习的常见动机包括对土著健康和文化的兴趣.
- 他们享有类似的组织结构和关系,同时也存在共同的障碍.
- 那些离开的人强调政治,官僚主义和不可预测性,以及实践联系;那些留下的人主动地管理障碍并持有外部观点.
结论:
- 医生职业决策在土著人的健康与农村/贫困地区的医生有共同的因素.
- 建议加强培训提供者的指导和指导,以支持注册人员.
- 登记人员对障碍的看法和反应对于在原住民医疗保健中留住原住民至关重要.
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