加拿大阿尔伯塔省家庭医生的变化:一项为期16年的基于人口的队列研究
Braden J Manns1,2,3,4, Terrence McDonald5,4,6, Kerry McBrien5,4,6
1Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada bjmanns@ucalgary.ca.
Annals of family medicine
|September 22, 2025
概括
从2004年到2020年,家庭医生 (FP) 在人口统计和实践模式上发生了显著的变化. 患者群体也发生了转变,更多的老年人和复杂的并发症患者获得初级保健.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 家庭医学 家庭医学 家庭医学
背景情况:
- 关于初级保健准入的研究往往侧重于医生变化,对不断变化的患者人口统计和健康需求的关注较少.
- 了解初级保健医生及其患者群体的转变对于有效的医疗保健规划至关重要.
研究的目的:
- 检查随着时间的推移,家庭医生 (FP) 特性和实践模式的变化.
- 分析从FP获得护理的患者的人口和医疗复杂性的趋势.
- 评估医生变化与初级保健中的患者人口演变之间的相互作用.
主要方法:
- 基于人口的队列研究,利用加拿大阿尔伯塔省 (2004-2020) 的行政健康数据 (医生索赔,医院数据).
- 评估FP人口统计 (性别,培训国家) 和实践 (工作日,患者负载) 的变化.
- 采用经过验证的算法来测量成人患者的并发症患病率和复杂性.
主要成果:
- 观察到女性FP和那些在低收入/中等收入国家接受培训的人数显著增加.
- 患者群体在老年人 (61-80岁) 和患有多种并发病 (≥5种疾病) 的患者中呈现上升.
- 在研究期间,FP每年工作的天数减少,每天看病的患者也减少.
结论:
- 在2004年至2020年期间,FP人口统计和实践风格发生了重大变化.
- 初级保健患者越来越多地包括患有复杂健康状况的老年人.
- 这些转变需要在初级保健提供和资源分配方面采取适应性策略.
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