桶中的一个洞? 研究英格兰最近获得资格的全科医生的保留率
William L Palmer1, Lucina Rolewicz2, Victoria Tzortziou Brown3
1Nuffield Trust, London, UK. william.palmer@nuffieldtrust.org.uk.
Human resources for health
|March 3, 2025
概括
新获得资格的全科医生在NHS的保留率很低,只有47.5%在完成培训一年内加入NHS. 这项研究强调了尽管管道扩张,但保持全科医生的挑战.
科学领域:
- 一般的做法一般的做法
- 健康劳动力研究 卫生劳动力研究
- 医学教育 医学教育
背景情况:
- 一般医生 (GPs) 是英国初级保健中的关键高级临床医生.
- 尽管政府的努力,英格兰的全科医生数量有所下降.
- 这项研究的重点是从GP专业培训到NHS实践的过渡.
研究的目的:
- 分析完成GP专业培训 (GP ST3) 的医生加入国家卫生服务 (NHS) 的速度.
- 检查新获得资格的全科医生的参与和兼职工作水平.
- 为了确定人口,时期和队列对GP招聘和保留的影响.
主要方法:
- 利用了14302名GP ST3 (2018-2023) 和21293名完全合格的合并人员 (2017-2023) 的综合行政数据.
- 计算的加入者和参与率.
- 采用通用线性混合效应模型来评估影响因素.
主要成果:
- 只有47.5%的GP ST3在完成培训一年内加入NHS的一般实践; 62.2%在两年内加入.
- 平均参与率在全职合同中保持稳定,为65-69%.
- 国际医学毕业生和男性全科医生 (英国和非英国培训) 在两年内观察到更低的木工率.
- 与COVID-19大流行相关的显著"周期效应"影响了加入者可能性.
结论:
- 全科医生人力资源不断增长,但没有证据表明新培训的全科医生有所改善.
- 消耗的潜在因素包括招聘障碍和对NHS角色的兴趣下降.
- 需要进一步的研究来了解完成GP培训的医生的职业发展轨迹和人口统计数据.
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