苏格兰新的全科医生合同是否解决了反向护理法的问题?
Stewart W Mercer1, Carey Lunan1, David Henderson1
1Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
Future healthcare journal
|January 1, 2024
概括
苏格兰 苏格兰 苏格兰 苏格兰
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 一般的做法一般的做法
背景情况:
- 苏格兰面临着严重的健康不平等,部分原因是反向护理法.
- 与富裕地区相比,贫困地区的患者结果较差.
- 2018年,为了解决这些不平等问题,推出了一项新的通用实践 (GP) 合同.
研究的目的:
- 评估苏格兰新GP合同对健康不平等的影响.
- 评估与人口需求相关的全科医生分布.
主要方法:
- 分析国家数据关于可避免的死亡率在贫困的分数.
- 对每10,000名患者的全职同等 (WTE) 通用诊所医生 (全科医生,护士,相关专业人员) 的分布进行了检查.
- 2019年和2022年数据的比较.
主要成果:
- 在最贫困的十几年中,可避免的死亡率明显高于 (2019年为4.8倍,2021年为4.9倍).
- 与合同的目标相反,贫困地区在2019年和2022年,每1万名患者的WTE临床医生比富裕地区更少.
- 这表明反向护理法在合同后实施的情况恶化.
结论:
- 新的全科医生合同并没有减少苏格兰的医疗保健不平等.
- 一般实践人员的分布加剧,而不是减轻,反向护理法.
- 迫切需要彻底改变,以解决健康差异和改善贫困地区的护理.
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