一般医生选择额外技能培训的推动因素和障碍:混合方法研究
Abdul-Aziz Seidu1, Emma M Anderson1, Hannah Mason1
1College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.
一般医生 (GPs) 发现额外技能培训 (AST) 对农村实践有价值,这是由内在动机驱动的. 然而,可持续性需要更好的认可,可见性和与社区需求的协调,以克服工作负载和倦怠等障碍.
科学领域:
- 医学教育 医学教育
- 农村卫生 农村卫生
- 一般实践培训一般实践培训
背景情况:
- 额外技能培训 (AST) 是澳大利亚农村通用医师 (RG) 培训的强制性组成部分.
- 这项培训涉及为期12个月的全科医生专业学科特定教育.
研究的目的:
- 调查影响全科医生选择AST课程的因素.
- 了解一般医生对AST促进因素和障碍的看法.
主要方法:
- 使用了一种顺序解释性的混合方法方法.
- 收集和分析了定量调查数据 (n=106) 和定性访谈数据 (n=13).
- 统计分析和主题分析分别用于定量和定性数据.
主要成果:
- 一般医生认为AST有助于改善患者的结果 (57.5%) 和满意度 (49.1%).
- 内在动机包括个人兴趣,职业成长和提高患者护理.
- 确定的主要障碍是资金挑战,倦怠,工作负担,工作与生活平衡,期望不匹配以及对AST的不充分认可.
结论:
- AST是一个高度重视的培训计划,大多数全科医生本质上都有参与的动机.
- AST的可持续性需要加强对其价值的认可,提高可见性,以及更好地与社区需求保持一致.
- 解决已识别的障碍对于农村一般医师培训AST计划的长期成功至关重要.
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