[从市政的角度来看,确保未来的初级保健]
Philip Schillen1, Jürgen In der Schmitten1, Johanna Bolland1
1Institut für Allgemeinmedizin, Universität Duisburg-Essen, Medizinische Fakultät, Essen, Germany.
Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))
|May 6, 2024
概括
北莱 - 韦斯特法利亚 (NRW) 的市政当局担心未来的初级保健机会,因为缺乏全科医生. 他们敦促医疗保险协会和联邦州更多地参与,以确保当地医疗保健.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 医疗保健管理的管理
背景情况:
- 人们越来越担心全科医生短缺,因此需要确保当地获得初级保健服务.
- 当地当局越来越负责保证可访问的医疗保健服务.
- 这项研究重点关注北莱-威斯特伐利亚 (NRW) 的市政当局对初级保健提供的看法.
研究的目的:
- 从NRW的市政当局的角度分析当前和未来的初级保健状况.
- 为基于需求的,当地可访问的初级保健提供健康政策设计的信息.
- 确定关键的利益相关者及其在确保未来初级保健提供方面的作用.
主要方法:
- 在2023年春天进行了一项在线调查,针对NRW所有427个市镇的市长或卫生部门代表.
- 该调查工具包括28个项目,这些项目是基于以前在下萨克森和巴登 - 特堡的研究而开发的.
- 与城市和县的区域协会的合作确保了全面的参与.
主要成果:
- 实现了45.0%的响应率 (192个城市).
- 86.6%的市政当局认为,在10年内,当地初级保健服务将无法得到充分保障.
- 79.5%的人希望有更多的影响力,而85.4%的人要求法定医疗保险医生和72.4%的联邦州更强有力的承诺.
结论:
- 市政府认识到即将出现的初级保健缺口和需要采取行动.
- 人们清楚地期望法定医疗保险医生和联邦州承担更大的责任.
- 让市政当局参与未来的初级保健规划和政策对于确保当地获得医疗保健至关重要.
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