在普通医生计划中吸引和保留年轻医生:挪威的一项全国性队列研究
Katrine Skyrud1, Torill Rotevatn1, Henning Øien1,2
1Cluster of Health Services Research, Norwegian Institute of Public Health, Oslo, Norway.
Scandinavian journal of public health
|March 12, 2025
概括
年轻的全科医生 (GPs) 更有可能留在他们的角色有更高的收入和专业化. 在急诊室或农村地区工作预示着早期离开GP计划.
科学领域:
- 医学研究 医学研究
- 卫生政策 卫生政策
- 一般的做法一般的做法.
背景情况:
- 在全球范围内,全科医生 (GP) 的倦怠,招聘和留住是重大挑战.
- 影响GP职业生涯长寿的潜在因素仍然不完全理解.
研究的目的:
- 在国家计划中确定年轻全科医生 (GPs) 任职的预测因素.
- 区分与保持与早期离开GP职业相关的因素.
主要方法:
- 利用了2010-2018年期间加入该计划的40岁以下全科医生的挪威注册数据.
- 应用LASSO Cox回归来分析个人属性,预约细节,患者个人资料和工作负载指标.
- 随访GP,直到退出该计划或2020年底.
主要成果:
- 在2038名年轻全科医生中,499名 (24.5%) 在2020年12月之前离开了该计划.
- 停留的主要预测因素包括基于活动的高收入和通用医学专家资格.
- 每年在急诊室工作超过50天,并在不那么中心的地区练习是离开的强有力的预测因素.
结论:
- 高收入,专业化和大量的患者基础对GP保留产生了积极的影响.
- 在较不中心地区的急诊室工作和实践位置与较高的磨损率有关.
- 全科医生实践工作负荷的强度似乎不是年轻全科医生提前退休的主要驱动因素.
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