葡萄牙的医疗住院:对工作条件的横截面研究
José Chen-Xu1,2, Bruno Miranda Castilho3, Bruno Moura Fernandes4
1Unidade de Saúde Pública, Agrupamento de Centros de Saúde Baixo Mondego, Coimbra, Portugal.
Frontiers in health services
|December 20, 2023
概括
葡萄牙的住院医生工作时间过长,往往没有薪水,并且在培训上投入了大量资金. 改善工作条件对于欧洲卫生系统的可持续性至关重要.
科学领域:
- 健康劳动力研究 卫生劳动力研究
- 医学教育 医学教育
- 医疗保健政策 医疗保健政策
背景情况:
- 欧洲卫生系统面临人力资源危机,影响住院医生的工作条件和工资.
- 住院医生占葡萄牙国家卫生服务人员的很大一部分.
- 关于葡萄牙住院医生的工作量和职责的客观数据缺乏.
研究的目的:
- 量化葡萄牙住院医生的工作量和工作条件.
- 分析与工作量和工作条件相关的因素,包括自主和培训投资.
主要方法:
- 一项观察性,回顾性横截面研究,使用了一项调查,在2020年9月分发给葡萄牙居民医生.
- 对工作量和培训活动的描述性分析.
- 后勤回归模型用于评估与地理位置和居住年龄的关联.
主要成果:
- 85.3%的居民提供咨询,他们完全自主.
- 32.1%的人工作24小时班次,25.1%的人在急诊室工作,没有专家监督.
- 40.8%的人每年投资超过1500欧元用于医疗培训.
- 自主性与家庭医学,高级住院和特定地区有关;资历与培训投资相关.
结论:
- 住院医生超出合同时间,往往没有薪酬,并且在有限的学习时间的情况下大量投资培训.
- 迫切需要改善住院医生的工作条件,以确保欧洲医疗保健系统的可持续性.
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