使用工作和个人特征了解持续的GP周转率:一个回顾性观察性研究.
Laura Jefferson1, Ben Walker2, Rosa Parisi3
1University of York, Department of Health Sciences laura.jefferson@york.ac.uk.
概括
高流动性实践中的全科医生报告工作满意度,自主性和能力较低. 解决这些问题是改善GP保留和实践可持续性的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 一般实践 劳动力研究 劳动力研究
- 职业健康心理学 职业健康心理学
背景情况:
- 一般医生 (GP) 周转率的上升和参与率的下降威胁到全科医院的可持续性.
- 政策正在转向以社区为基础的护理和劳动力保留,需要了解营业额驱动因素.
- 与持续的GP周转率相关的工作特征需要调查.
研究的目的:
- 检查实践级持续的GP周转率与GP工作满意度之间的关系.
- 确定与高GP周转率相关的特定职位特征.
- 为了告知GP保留的干预措施.
主要方法:
- 在英格兰 (2013-2019) 使用链接的国家行政数据和GP调查答案的回顾性观察性研究.
- 定义持续高营业额的做法,即连续三年每年有超过10%的GP离开.
- 使用多重线性回归来将工作满意度组件 (自主性,归属性,能力) 与持续的营业额联系起来.
主要成果:
- 在2403名整形医生中,有8%的人从事持续高周转率的做法.
- 这些实践中的全科医生报告说,自主性,归属性,能力,工作满意度和生活满意度显著下降.
- 这些全科医生还报告了更长的工作时间,与能力相关的得分明显较低.
结论:
- 医生工作满意度与高周转率之间存在明显的关系.
- 自主,归属和能力的经验差异突出了保留干预的目标.
- 提高工作满意度对于支持GP保留和确保一般实践的可持续性至关重要.
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