在日本指定为没有医生的地区的农村诊所中,医生的保留和迁移:使用全国医生调查进行描述性流行病学研究
Hiroyuki Teraura1, Kazuhiko Kotani2, Soichi Koike3
1Division of Community and Family Medicine, Center for Community Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-City, Tochigi, 329-0498, Japan.
BMC health services research
|September 11, 2024
概括
在日本,医生从农村诊所迁移是很常见的,许多医生转移到医院. 年轻的医生,那些获得董事会认证的人,以及那些改变实践领域的人更有可能从这些必不可少的农村卫生设施迁移.
科学领域:
- 医疗政策 医疗政策
- 农村卫生 农村卫生
- 医生劳动力分布 医生劳动力分布
背景情况:
- 日本农村诊所 (RCDA) 旨在确保医生在服务不足的地区.
- 在RCDA和农村地区核心医院 (CHRA) 之间有政策派出医生.
研究的目的:
- 评估来自RCDA的医生迁移模式.
- 确定与医生从RCDA迁移相关的因素.
主要方法:
- 使用国家医生调查数据 (2012-2018) 的回顾性队列研究.
- 2012年在RCDA工作的目标医生 (n=510).
- 连续保留的医生 (n=278) 与迁移的医生 (n=232) 的比较.
主要成果:
- 在移民医生 (n=151) 中,57.6%转移到医院,40.2%的人转移到CHRA.
- 40岁,50岁和60岁以上的医生更有可能留在RCDA.
- 实践领域的变化和董事会认证的增加与迁移有关.
结论:
- 许多医生从RCDA迁移到医院.
- 据报道,RCDA-CHRA的调度系统似乎支持保留农村医生.
- 年龄较小,获得董事会认证和实践领域的变化与医生从RCDA迁移有关.
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