与职业生涯早期的全科医生在以前的培训实践中作为独立专家的保留相关的因素
Michael Tran1, Alison Fielding2,3, Dominica Moad2,3
1Department of General Practice, University of New South Wales, Kensington, NSW 2052, Australia.
Rural and remote health
|September 11, 2024
概括
一般实践注册人员更有可能留在提供家庭和超时照顾的培训实践中. 然而,农村的培训地点减少了保留的可能性,尽管有努力增加农村GP的劳动力.
科学领域:
- 一般的做法一般的做法
- 医疗劳动力医疗劳动力
- 农村卫生 农村卫生
背景情况:
- 保持通用实践注册员对于解决劳动力短缺问题至关重要.
- 农村和偏远地区的实践面临着重大的保留挑战.
- 了解影响保留的因素是支持农村GP工作人员的关键.
研究的目的:
- 为了确定在培训实践中一般实践注册员保留的普遍性.
- 为了确定与注册员保留相关的因素.
- 为改善区域和农村地区的GP保留率制定策略提供信息.
主要方法:
- 基于问卷的横截面研究 (NEXT-UP研究).
- 包括在2016-2018年期间完成培训的职业生涯早期的全科医生 (GP).
- 多变量逻辑回归分析了基于培训实践特征的保留率.
主要成果:
- 59%的注册人员保留了他们的培训实践.
- 提供家庭访问,养老院访问或下班照顾的实践显示了更高的保留率 (aOR 4.29).
- 较低社会经济地位的做法与更高的保留率 (aOR 0.82) 有关.
- 区域-农村培训地点与保留率降低有关 (aOR 0.35).
结论:
- 区域-农村培训与较低的GP保留率有关.
- 提供外诊和下班照顾是留住医生的强有力的预测因素.
- 在培训期间促进整体的,以社区为基础的护理可能会激励农村GP的保留.
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