澳大利亚一般医疗保健服务的规模和同位地的变化,2000-2016年
Preet Kalkat1, Shaun Larkin2, Jennifer Lacy-Nichols1
1Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Vic, Australia.
概括
澳大利亚的全科医院经历了显著的增长,实践规模更大,医疗保健服务的共同位置增加. 在2000年至2016年期间,执业护士的数量也大幅增加.
科学领域:
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
- 澳大利亚医疗保健系统
背景情况:
- 一般医生 (GP) 的人口统计和实践结构正在发展.
- 了解澳大利亚初级保健机构的变化对于政策制定至关重要.
- 之前的研究还没有完全详细地说明了全科医生实践规模和同位地的随时间变化.
研究的目的:
- 分析澳大利亚全科医院的大小和卫生服务的共同位置的趋势.
- 检查GP实践中实践护士的就业情况的变化.
- 调查澳大利亚不同地理和社会经济地区这些趋势的变化.
主要方法:
- 对改善健康评估和护理数据集 (2000-2016年) 的二次分析.
- 检查了一般诊所规模的变化,与其他卫生服务的共同位置以及实践护士的就业情况.
- 在研究期间评估了全科医生和实践特征的趋势.
主要成果:
- 在2000-2001年和2015-2016年期间,一般诊所的平均规模从4.6增加到7.5个一般医生.
- 在与同位服务的实践中,全科医生的比例从66.3%上升到94.0% (2008-2016).
- 在与护士的实践中,全科医生的比例显著增加,从60.1%增加到84.7% (2004-2016).
结论:
- 澳大利亚的全科医院从2000年到2016年实践护士的实践规模,共同位置和实践护士就业量大幅增加.
- 这些发现突显了初级保健提供结构的重大转变.
- 需要进一步的研究来了解这些观察到的变化对政策的影响.
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