我们在一起更好吗? 法国全科医生在多专业团体实践中的表现的调解分析
Anna Zaytseva1, Pierre Verger2, Bruno Ventelou3
1SBS-EM, DULBEA, Université libre de Bruxelles, Brussels, Belgium.
Health services insights
|May 8, 2025
概括
综合初级保健团队 (MGP) 可以提高护理质量,尽管法国GP短缺. 在MGP的入学积极影响护理质量,特别是通过减少与工作有关的压力和增加电子健康的采用.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 主要护理政策 基本护理政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 综合初级保健团队是家庭医学的一个有争议的政策.
- 这些团队可能会为法国医疗密度短缺提供解决方案.
- 了解全科医生 (GPs) 对供应不足的反应至关重要.
研究的目的:
- 分析一般医生如何应对医疗保健数量和质量方面不够的一般医生供应.
- 研究综合初级保健团队 (多专业小组实践 - - MGPs) 在这种反应中的调解作用.
主要方法:
- 结构方程建模应用于来自法国三项GP调查 (2019-2020) 的数据,涉及1209名GP.
- 护理量是通过全科医生的需求吸收能力来衡量的.
- 护理质量与疫苗推的频率相近.
主要成果:
- 低的GP密度对护理量产生了负面影响,但没有直接影响质量.
- 在GP密度较低的地区,较高的工作压力与需求吸收能力的降低有关.
- 总理医院的全科医生使用了更多的电子健康工具,积极影响了疫苗推.
结论:
- 减少与工作有关的压力是管理患者请求的关键.
- 在考虑自我选择时,注册MGP积极调解护理质量,而不是数量.
- 这些发现支持进一步发展MGP,以提高初级保健的质量.
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