应对医生短缺:一项定性研究,探讨法国全科医生的生活经历,困难和适应性行为
Hélène Dumesnil1, Romain Lutaud2, Julien Bellon-Curutchet2
1ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
Family practice
|March 24, 2024
概括
法国服务不足地区的全科医生面临着更糟糕的护理和不可持续的工作负载,导致疲劳和对患者护理的担忧. 他们认为目前的支持措施不足以应对实践中的困难.
科学领域:
- 医学社会学 医学社会学
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 一般医生 (GPs) 的短缺是欧洲各地,特别是法国,一个显著和日益关注的问题.
- 预计这种趋势将持续,影响医疗保健的可访问性,直到20世纪20年代末.
研究的目的:
- 调查全科医生 (GPs) 在医疗服务不足的地区对医疗保健准入的看法.
- 分析这些接入问题对全科医生的工作条件和应对机制的影响.
主要方法:
- 在法国东南部医生密度较低的地区,对29名全科医生进行了半结构化个人访谈.
- 有目的的抽样确保了医生和地理环境 (农村和城市) 的多样性.
- 对转录的采访数据进行了主题分析.
主要成果:
- 总体医生报告说,即使在城市地区,人们获得护理的机会也大幅下降,而这些问题往往被忽视.
- 工作量增加得不可持续,导致全科医生,包括年轻的从业者广泛疲.
- 不满的一个主要来源是无法提供最佳的病人护理,需要 improvisation 没有正式的支持.
结论:
- 一般医生对他们的职业和患者福祉的未来表示深切关注.
- 在期待政策干预的同时,一般医生对官方提出的解决方案的参与度有限.
- 在政策制定者的举措和面临接入挑战的一般医生的实际需求之间存在感觉上的脱节.
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