计算全科医生:对NHS全科医生进行比较重复截面分析
Luisa M Pettigrew1,2, Soraya Akl3, Aamena Bharmal4
1London School of Hygiene & Tropical Medicine Faculty of Public Health and Policy, Health Services Research and Policy, London, United Kingdom luisa.pettigrew@lshtm.ac.uk.
概括
定义通用实践 (GP) 数量显著影响劳动力趋势. 统计所有全科医生显示18%的增长,但完全合格的全职医生减少了5%,揭示了全科医生能力分析的关键差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗劳动力分析 医疗劳动力分析
- 公共卫生政策 公共卫生政策
背景情况:
- 准确评估国家卫生服务 (NHS) 通用实践 (GP) 工作人员对于服务规划至关重要.
- 医生数据收集和分析方式的差异可能导致对劳动力趋势的误解.
研究的目的:
- 根据不同的定义和数据分析方法,比较国家卫生服务 (NHS) 总医生 (GP) 数量和趋势.
- 评估将全科医生实习生纳入或排除在外的影响,并考虑全职等效 (FTE) 对劳动力统计数据的措施.
主要方法:
- 采用了一种比较的,重复的横截面研究设计,从2015年9月到2024年9月,每季度分析英格兰NHS的一般实践数据.
- 数据使用人数与FTE,有和没有GP实习生,以及与注册人口规模相关的数据进行了比较.
主要成果:
- 在2015年9月至2024年9月期间,完全合格的全科医生和全科医生实习生的总数增加了18% (41,193人到48,758人).
- 相反,仅完全合格的FTE全科医生的数量就显示了5%的减少 (29,364到27,966).
- 人均全科医生趋势差异很大,从6%的增长到15%的减少,每位完全合格的FTE全科医生患者数量增加,百分位数范围扩大.
结论:
- 一般实践 (GP) 数字的定义,工作时间 (FTE) 的考虑和人口指标对解释劳动力趋势有重大影响.
- 完全合格的FTE全科医生人均提供了GP能力的最接近的反映,尽管目前NHS数据的局限性.
- 在实践层面报告每位GP的患者负担对于了解英格兰全境GP提供服务的日益差异至关重要.
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