英语通用实践的变化形状:使用国家数据集进行的回顾性纵向研究,描述了组织结构,劳动力和记录任命的趋势
Luisa M Pettigrew1,2, Irene Petersen2,3, Nicholas Mays4
1Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK luisa.pettigrew@lshtm.ac.uk.
BMJ open
|September 3, 2024
概括
英语的全科医院正在整合成更大的实体,拥有更多多样化的团队,但每位患者的完全合格的全科医生 (GP) 数量已经下降. 这种转变需要监测对医疗保健获取,质量和成本的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 医疗保健管理的管理
背景情况:
- 英语通用实践正在经历重大的结构和劳动力变化.
- 了解这些趋势对于保持有效的患者护理至关重要.
研究的目的:
- 在英语一般实践中分析组织结构,劳动力组成和任命类型的趋势.
- 为了确定实践规模,所有权和一般实践员工队伍中的角色的转变.
主要方法:
- 这是一项回顾性纵向研究,使用来自英格兰NHS的国家行政数据集.
- 数据涵盖了从2013年到2023年的5至10年期间,包括实践层面和劳动力信息.
主要成果:
- 一般做法下降了20%,平均列表大小增加了40%.
- 全职等效 (FTE) 劳动力增加了20%,主要是行政和"直接患者护理" (DPC) 角色,而合格的全科医生 (GP) 数量下降了15%.
- 在2022年,合格的全科医生占每1000名患者的FTE工作人员的19%,行政角色占51%.
结论:
- 英语通用实践正在向更大,多学科的实践发展.
- 每1000名患者中合格的全科医生数量显著下降.
- 建议持续监测这些变化对访问,质量和成本的影响.
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