英格兰NHS全科医生短缺的趋势:重复横截面研究
Luisa M Pettigrew1,2, Aamena Valiji Bharmal3, Soraya Akl4
1Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK Luisa.pettigrew@lshtm.ac.uk.
BMJ (Clinical research ed.)
|September 17, 2025
概括
在NHS全科医院工作的全科医生 (GPs) 的数量相对于获得许可的全科医生而言正在下降,与专家增长形成鲜明对比. 这加剧了患者与GP的比例,尽管需求增加,但影响了初级保健.
科学领域:
- 医疗卫生工作人员分析
- 初级护理研究初级护理研究
- 公共卫生政策 公共卫生政策
背景情况:
- 公共可用的数据来源提供了在英格兰的全科医生 (GPs) 医生的不同数量.
- 了解一般医生相对于人口和专业劳动力的数量对于医疗保健规划至关重要.
研究的目的:
- 在英语数据源中比较GP数量和特征.
- 分析全科医生数量的趋势与人口增长和专业医疗工作人员的趋势.
主要方法:
- 一项重复的横截面研究分析了2012-2024年的数据.
- 数据来源包括一般医疗委员会 (GMC) 登记册,英格兰NHS的表演者名单和劳动力统计数据.
- 该研究比较了GMC授权的全科医生与NHS全科医生,分析了人口和专科医生数据的趋势.
主要成果:
- 在2024年,58,548名全科医生获得了GMC许可,但只有38,626名在NHS的全科医生 (人数).
- 在2015年至2024年期间,每增加5名获得许可的全科医生,NHS全科医院每年会失去1名全职医生.
- 没有在NHS全科医院执照的全科医生的比例从41%上升到52% (全职相当);患者与全科医生的比率增加了15%,而患者与顾问的比率下降了18%.
结论:
- 有执照的全科医生和NHS的全科医生之间存在着越来越大的差异,与专业劳动力趋势不同.
- 尽管患者需求不断增长和初级保健政策得到加强,但这种趋势仍在发生.
- 解决全科医生退休问题对于实现社区医疗目标和预防性医疗重点至关重要.
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