初级保健医生的实践模式与专家转诊率之间的关联:基于性别的横截面研究
Bahram Rahman1,2, David Kirkwood3, Glenda Babe2
1Physician and Provider Services Division, Ministry of Health, Toronto, Ontario, Canada.
PloS one
|April 28, 2025
概括
在安大略省,初级保健医生的转诊模式因实践模式和性别而异. 与男性医生相比,年轻且兼职的女性医生的转诊率有所不同.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 卫生政策分析 卫生政策分析
背景情况:
- 初级保健医生 (PCP) 对于获得医疗保健至关重要,管理向专家的转诊.
- 自2000年代初以来,安大略省经历了重大的初级保健改革.
- 改革后的PCP转介模式尚未得到全面分析.
研究的目的:
- 为了检查安大略省的初级保健医生转诊模式.
- 分析PCP实践模型与转诊率之间的关联.
- 调查PCP性别对推模式的影响.
主要方法:
- 从2019年1月1日至12月31日的PCP转诊数据分析的横截面研究.
- 链接医生行政和安大略省医疗保险计划 (OHIP) 计费数据库.
- 多变量波桑回归模型按医生性别分层,检查实践模型.
主要成果:
- 收费服务和家庭健康小组的PCP的调整后转诊率低于家庭健康小组 (FHT) 的PCP.
- 较年轻,兼职,城市PCP,以及具有较大患者名单的PCP的转诊率更高.
- 女性PCP比男性PCP年轻,兼职,患者名单较小,未经调整的转诊率高.
结论:
- 在安大略省的PCP转诊模式受到实践模式和医生性别的重大影响.
- 未来的初级保健改革必须考虑实践结构和医生人口统计学对专家推量的影响.
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