澳大利亚大都会外围地区的一般实践注册官的实践:与农村和大都会内部地区的截面比较
Michael Tran1, Anna Ralston2, Elizabeth Holliday3
1Discipline of General Practice, University of New South Wales, Wallace Wurth Building (C27), Corner High Street and Botany Street, Kensington, NSW 2052, Australia.
Australian journal of primary health
|September 13, 2024
概括
外部大都市 (OM) 地区的通用实践培训为不同患者人口统计提供了独特的学习体验. 然而,这些地区显示出医疗保健获取的潜在限制,影响患者护理.
科学领域:
- 通用诊所和医学教育研究 医学教育研究
- 医疗保健服务研究 医疗服务研究
- 农村和偏远地区的健康
背景情况:
- 外部大都市 (OM) 地区的全科医生培训对于患者获得护理至关重要.
- 虽然农村与城市培训差异是已知的,但OM与内都市 (IM) 培训环境需要进一步调查.
- 了解OM培训环境是评估注册人员不同的人口和医疗保健特征的关键.
研究的目的:
- 描述新南威尔士州和ACT的OM领域的通用实践培训.
- 将OM培训环境与IM和澳大利亚农村环境进行比较.
- 确定实践地点与注册员,患者和咨询因素之间的关联.
主要方法:
- 来自注册员在培训中的临床接触 (ReCEnT) 研究 (2016-2020) 的数据的横截面分析.
- 包括1308名注册商和177,026次咨询.
- 多项物流回归用于评估实践位置 (农村/OM/IM) 的关联.
主要成果:
- 与IM区域相比,OM区域提供了更多与老年患者和土著和/或托雷斯海峡岛民健康相关的经验.
- 对来自非英语背景的患者的护理在OM中比农村地区更为普遍.
- 医疗保健准入标记 (专家推,病理/成像请求) 在OM地区比IM和农村地区更少.
结论:
- 外部大都会地区代表着独特和具有教育价值的临床学习环境.
- 这些地区为具有独特人口特征的人口提供服务.
- 在OM地区潜在的医疗保健接入限制需要注意劳动力支持和资源分配.
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