与家庭医生相关的医生和实践特征 面板大小 面板大小
Andrew Bazemore1, Zachary J Morgan2, Kevin Grumbac2
1From The American Board of Family Medicine, Lexington, KY (AB, ZJM); Center for Professionalism & Value in Health Care, Washington, DC (AB); University of California San Francisco, College Park, MD (KG). abazemore@theabfm.org.
Journal of the American Board of Family Medicine : JABFM
|January 6, 2026
概括
初级保健小组的大小有很大的不同. 实践类型,团队组成和护理范围等因素会影响患者负担,影响医生工作量和初级保健服务.
科学领域:
- 初级保健研究研究初级保健研究
- 健康劳动力研究 卫生劳动力研究
- 医生实践管理 医生实践管理
背景情况:
- 了解初级保健小组规模对于解决美国医生短缺和倦怠问题至关重要.
- 政策制定者和劳动力规划者需要有关影响初级保健小组规模变化的因素的数据.
研究的目的:
- 调查与初级保健小组规模的变化相关的医生和实践特征.
- 确定影响家庭医生管理的患者数量的关键因素.
主要方法:
- 来自美国家庭医学委员会 (ABFM) 持续认证问卷 (2017-2023) 的数据分析.
- 包括来自21,770名家庭医生 (FP) 的全国代表性数据.
- 利用双变量分析和通用线性模型来检查小组大小和医生/实践因素之间的关联.
主要成果:
- 每个FP的平均面板大小为1933名患者.
- 独立实践FP拥有最大的小组;学术和联邦诊所FP拥有最小的小组.
- 在2-5名医生的实践中,FP的面板比单独或更大的小组更大.
- 提供产科/住院护理和与高级从业人员合作与小组规模差异有关.
- 较高比例的脆弱患者与较小的小组大小相关.
- 面板尺寸随着时间的推移而减少.
结论:
- 家庭医生小组规模存在显著差异,受实践类型,规模,团队组成和实践范围的影响.
- 调查结果强调,需要在劳动力规划中考虑个人和实践层面的因素.
- 优化初级保健提供和管理医生工作量需要对小组规模管理采取细微的方法.
关键词:
获得护理的机会家庭医学 家庭医学 家庭医学家庭医生 家庭医生卫生政策 卫生政策线性模型 线性模型面板尺寸 面板尺寸 面板尺寸初级医疗保健是一项主要的医疗保健服务.调查和问卷调查和问卷调查劳动力 劳动力 劳动力 劳动力工作负载的工作负载.更多相关视频
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