探索成为全科医生实践所有者的考虑因素:定性研究
Hinda Stegeman1, Manna A Alma2, Hanneke Pm Vervoort2
1University Medical Centre Groningen, Groningen, Netherlands h.a.stegeman@umcg.nl.
BJGP open
|March 12, 2025
概括
一般实践业主对于医疗保健的连续性至关重要. 年轻的全科医生 (GPs) 面临着复杂的因素,影响他们成为实践所有者的决定,影响初级保健的未来.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 一般实践管理的管理.
- 医疗保健劳动力研究 劳动力研究
背景情况:
- 一般实践业主确保24/7获得护理,但面临的挑战是招聘合伙人和继任者.
- 越来越少的诊所老板危及了护理连续性 (COC).
- 对于年轻的全科医生的职业考虑和实践所有权的障碍/促进者的理解有限.
研究的目的:
- 探讨一般医生 (GPs) 关于实践所有权的职业考虑.
主要方法:
- 在荷兰北部进行了一项定性研究.
- 90名全科医生 (实习生,自由职业者/雇员,业主,前业主) 被招募参加重点小组和面试.
- 对已转录的字面记录进行了主题分析.
主要成果:
- 实践所有权决策涉及专业,个人,外部和过程相关因素的复杂相互作用.
- 护理连续性 (COC),自主性和个人发展对所有权决策产生了积极的影响.
- 工作与生活的平衡,最终的责任,负面的榜样,不吸引人的做法,准备和流程问题对考虑产生了负面影响;非所有者认为所有权是不可讨论的.
结论:
- 加强感知行为控制和主观规范,以及对实践所有权和替代模型的公开对话是必要的.
- 结果为未来的定量研究提供了基础,以解决实践业主短缺的问题.
- 这项研究可以确定与实践所有权相关的普遍和特定国家主题.
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