农村的全科医生与他们的城市同事有着不同的个人和职业发展轨迹:一个病例控制研究
Perrine Nedelec1, Laurélie Beviere1, Anthony Chapron2,3
1Department of General Practice, Univ Rennes, 35000, Rennes, France.
BMC medical education
|November 8, 2023
概括
法国农村的全科医生更有可能拥有农村背景,培训或先前的农村地方经验. 这些因素是促进农村GP招聘和保留战略的关键.
科学领域:
- 医学社会学 医学社会学
- 农村卫生政策 农村卫生政策
- 一般实践研究研究 一般实践研究
背景情况:
- 预计到2030年,法国农村的全科医生人数将减少20%,这凸显了关键的初级保健准入挑战.
- 国际研究发现农村的教育和培训是农村GP实践的因素,但需要在法国进行特定背景的研究.
研究的目的:
- 确定与法国医疗保健系统内在农村地区执业的全科医生相关的内在和外部因素.
- 为改善法国农村整体医生的招聘和留守策略提供信息.
主要方法:
- 一项在2020年5月至9月期间在法国布列塔尼进行的病例控制研究.
- 利用全科医生的自我管理问卷,比较农村 (案例) 和城市 (对照) 的医生.
- 采用单变量和多变量分析来确定与农村实践相关的因素,使用国家农村和城市地区的定义.
主要成果:
- 农村的全科医生 (GPs) 与具有农村教育 (OR=2.35),完成农村本科培训实习 (OR=3.44),以及以前的农村地方经验 (OR=3.76) 有显著的关联.
- 选择农村实践与研究生培训地点 (OR=5.13) 和配偶/伴侣具有农村教育 (OR=2.36) 或农村就业 (OR=5.29) 相关.
结论:
- 在法国农村执业的全科医生更有可能拥有农村出身,培训或地方经验.
- 加强农村医生招聘和留守的战略应侧重于改善农村生活/工作条件,鼓励农村培训和地方安置,并优先考虑来自农村背景的医学学生.
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