贫困和全科医生的工作生活:重复的横截面研究
Michael Anderson1,2, Jonathan Gibson1, Benjamin Walker1
1Health Organisation, Policy, Economics (HOPE), Centre for Primary Care & Health Services Research, The University of Manchester, Manchester M13 9PL, UK.
Journal of the Royal Society of Medicine
|April 21, 2025
概括
贫困地区的全科医生面临更高的工作压力,包括困难的患者和资源短缺,收入更低. 需要采取政策干预措施,以改善这些服务不足的地区的GP招聘和保留率.
科学领域:
- 初级医疗保健的研究.
- 医疗服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 地区贫困严重影响医疗保健提供和劳动力动力.
- 了解这些影响对于公平的资源分配和服务提供至关重要.
研究的目的:
- 调查面积剥夺与英格兰全科医生的工作生活之间的关系.
- 识别与在贫困地区执业相关的特定工作压力,满意度和收入差异.
主要方法:
- 从2015年到2021年,对英格兰的全科医生进行了四次重复的横截面调查的分析.
- 线性和间隔回归模型被用来评估实践剥夺排名与工作压力,满意度,辞职意图,收入和工作时间之间的关联.
- 模型根据GP的特征进行了调整.
主要成果:
- 更高的区域剥夺与被认为是问题患者的压力增加,实践资源不足和难以找到地方覆盖率有显著的关联.
- 贫困地区的一般医生报告说,他们的年收入明显较低.
- 在贫困排名和工作满意度或放弃直接患者护理的意图之间没有发现显著的关联.
结论:
- 在贫困地区,一般医生工作压力的关键驱动因素包括具有挑战性的患者病例,资源限制,以及难以获得临时工作人员的困难.
- 贫困地区的全科医生收入下降,突出了初级保健中的社会经济差异.
- 建议有针对性的投资和政策变化,以加强在服务不足,贫困地区的GP招聘和保留.
更多相关视频
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
3.4K
10:11Fundus Photography as a Convenient Tool to Study Microvascular Responses to Cardiovascular Disease Risk Factors in Epidemiological Studies
Published on: October 22, 2014
19.0K
相关概念视频
Longitudinal Research
11.8K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.8K
Cross-Sectional Research
11.1K
In cross-sectional research, a researcher compares multiple segments of the population at the same time. If they were interested in people's dietary habits, the researcher might directly compare different groups of people by age. Instead of following a group of people for 20 years to see how their dietary habits changed from decade to decade, the researcher would study a group of 20-year-old individuals and compare them to a group of 30-year-old individuals and a group of 40-year-old...
11.1K
Self-Discrepancy Theory
18.2K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.2K
Longitudinal Studies
81
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
81
Observational Studies
8.1K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.1K
Factors Affecting Illness
4.0K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.0K
