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感知北克居住计划特征与高级访问模型的兼容性:一个横截面研究
Marie-Ève Boulais1, Nadia Deville-Stoetzel1, François Racine-Hemmings1,2
1Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Quebec, Canada.
BMC primary care
|May 10, 2024
概括
没有任何住院课程完全符合高级访问 (AA) 原则. 这项研究评估了与AAA的兼容性.
科学领域:
- 初级保健创新初级保健的创新
- 医学教育研究 医学教育研究
- 医疗系统管理 医疗系统管理
背景情况:
- 高级访问 (AA) 是提高初级保健可访问性的关键模式.
- AA依赖于规划,供应调整,优化安排和专业间的协作.
- 将AA纳入家庭医疗住院计划可以促进更广泛的采用并改善患者的访问.
研究的目的:
- 评估北克大学附属家庭医疗住院课程与高级访问的四个核心支柱的理论兼容性.
- 确定在居住计划和AA原则之间对齐和不对齐的特定领域.
主要方法:
- 对大学附属家庭医学小组 (U-FMGs) 的首席住院医生和学术主任进行了一项横向的在线调查.
- 达到了96%的高响应率 (44/46 U-FMGs),确保了广泛的代表性.
- 该调查评估了基于高级访问模型的四个既定支柱的兼容性.
主要成果:
- 没有一项实习课程证明与所有四个高级访问支柱完全兼容.
- 由于居民轮换计划,只有25%的计划与需求和供应的规划保持一致.
- 54%的医院符合调整供给与需求的要求,而82%的医院没有为紧急护理优化预约系统.
- 60%的课程在第一个居住年显示与专业间合作的兼容性.
结论:
- 实习生计划与高级访问原则的理论兼容性存在显著的异质性.
- 研究结果表明,需要有针对性的干预措施,以使住院培训与AA保持一致,以改善初级保健准入.
- 建议进行进一步的实证研究来验证这些兼容性发现.
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