一般医生的短缺是否重要? 一个实践人口预期寿命的横截面研究
Richard Baker1, Louis S Levene1, Christopher Newby2
1Department of Population Health Sciences, University of Leicester, Leicester.
概括
诸如全科医生 (GPs) 和护理连续性等全科医院资源的减少与英格兰预期寿命的下降有关. 改善这些因素可以提高人口健康结果.
科学领域:
- 公共卫生 公共卫生
- 一般实践研究研究 一般实践研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 英格兰面临全科医生短缺问题,这影响了医疗服务的获取和连续性.
- 在一般实践中,访问和连续性下降是严重的担忧.
研究的目的:
- 确定一般实践的特征是否与其患者群体的预期寿命有关.
- 研究实践组织,准入,临床表现和患者寿命之间的关系.
主要方法:
- 一项横截面生态研究分析了2015-2019年患者预期寿命数据.
- 多变量加权回归模型评估了16个非相关变量,包括人口人口统计,实践组织,访问指标,临床绩效指标和护理连续性.
主要成果:
- 较高的预期寿命与每名患者的支付增加有关,更多的全职相当的完全合格的全科医生,更大的护理连续性,以及更好的控制COPD患者的糖尿病和流感疫苗接种率.
- 社会经济贫困和白人种族与预期寿命有负面关联.
结论:
- 该研究强调了关键的一般实践特征 (GP 数,连续性,访问) 与预期寿命之间的令人担忧的积极关联.
- 应对全科医院资源的减少和加强护理的连续性可能会改善人口的健康和寿命.
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