[医生助理纳入初级保健:在全科医生的接受和担忧]
Alessia Dehnen1, Benjamin Borchardt1, Philip Schillen1
1Institut für Allgemeinmedizin, Medizinische Fakultät, Universität Duisburg-Essen, Essen, Deutschland.
概括
德国的全科医生 (GPs) 表示有兴趣聘请医生助理 (PA) 来解决劳动力短缺问题. 许多全科医生愿意委托任务,并考虑竞争性工资,尽管财务可行性仍然是一个问题.
科学领域:
- 主要护理医学 医疗保健
- 医疗卫生工作人员发展发展
- 专业间医疗保健 专业间医疗保健
背景情况:
- 解决德国日益严重的全科医生短缺问题是一个关键的卫生政策问题.
- 将医生助理 (PA) 整合到全科医院环境中正在被探索为增强初级保健能力的潜在解决方案.
研究的目的:
- 调查德国全科医生 (GPs) 愿意在他们的实践中雇佣医生助理 (PA).
- 确定与将PA纳入初级保健团队相关的条件和问题.
主要方法:
- 一项在线调查分发给北莱-威斯特法利亚约5000名全科医生和萨克森-安哈尔特1000名全科医生.
- 半结构化的初步采访,包括一个在线焦点小组和七个个人采访,与北莱-威斯特法利亚的全科医生进行.
- 该研究针对的是医疗保健覆盖率低于100%的地区的全科医生.
主要成果:
- 约5%的响应率得到了实现,有290名全科医生参与了调查.
- 46.3%的全科医生表示有兴趣聘请助理医生,60%的人认为特定的任务是可以委托的,例如不复杂的呼吸道感染或疫苗接种的咨询.
- 虽然21.9%的全科医生愿意为PA提供超过3,500欧元的总月薪,但38.4%的人表示担心负担能力问题. 废除季度预算限制是就业的一个重要条件.
结论:
- 很大一部分全科医生愿意雇用PA并委托医疗任务,这是由于团队护理的必要性和潜在益处.
- 财务可行性,包括工资预期和现行实践预算,仍然是广泛的PA整合的关键未解决问题.
- 进一步研究可行性,安全性,成本效益和对治疗质量的影响对于卫生政策参与者考虑实施PA至关重要.
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