Prevalence and associations of provision of nursing home visits and home visits by early-career specialist general practitioners

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-03-21 DOI:10.1111/ajr.13112
Allison Turnock MPH, MHM, Alison Fielding PhD, Dominica Moad MPH, Ashley Blowes BND, Amanda Tapley MMedStat, Andrew Davey MClinEpid, Elizabeth Holliday PhD, Jean Ball GradDipMedStats, Michael Bentley DrPH, Kristen FitzGerald MPH & TM, Catherine Kirby PhD, Neil Spike FRACGP, Mieke L. van Driel PhD, Parker Magin PhD
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Abstract

Objective

To establish prevalence and associations of provision of nursing home visits (NHV) and home visits (HV) by early-career specialist GPs. Of particular interest were associations of rurality with performing NHVs and HVs.

Methods

A cross-sectional study.

Design

A questionnaire-based study.

Setting

Australian general practice.

Participants

Early-career specialist GPs, practising in Australia, who attained Fellowship between January 2016 and July 2018, inclusive, having completed GP training in NSW, the ACT, Eastern Victoria or Tasmania.

Main Outcome Measures

Current provision of NHV and HV.

Results

NHV were provided by 34% of participants (59% in rural areas) and HV by 41% of participants (60% in rural areas). Remote, rural or regional practice location, as compared to major-city practice, was strongly associated with performing NHV as an early-career specialist GP; multivariable OR 5.87 (95% CI: 2.73, 12.6), p < 0.001, and with the provision of HV; multivariable OR 3.64 (95% CI: 1.63, 8.11), p = 0.002. Rurality of GP training (prior to attaining Fellowship) was significantly univariably associated with providing NHV and with providing HV as an early-career specialist GP. On multivariable analyses, these were no longer statistically significant.

Conclusion

Early-career specialist GPs located in regional/remote areas are more likely than their urban colleagues to provide NHV and HV.

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早期职业专科全科医生提供护理家庭访问和家庭访问的普遍性和关联性。
目的确定早期职业专科全科医生提供护理家庭访问(NHV)和家庭访问(HV)的普遍性和相关性。方法: 一项横断面研究:横断面研究:设计:基于问卷的研究:环境:澳大利亚全科诊所:在新南威尔士州、澳大利亚首都地区、维多利亚州东部或塔斯马尼亚州完成全科医生培训并在 2016 年 1 月至 2018 年 7 月(含)期间获得研究员资格的澳大利亚早期执业专科全科医生:目前提供的 NHV 和 HV:34%的参与者(59%在农村地区)提供了NHV,41%的参与者(60%在农村地区)提供了HV。与大城市相比,偏远、农村或地区的执业地点与作为早期职业专科全科医生提供 NHV 密切相关;多变量 OR 为 5.87(95% CI:2.73,12.6),P 结论:与大城市相比,偏远、农村或地区的执业地点与作为早期职业专科全科医生提供 NHV 密切相关:区域/偏远地区的早期职业专科全科医生比其城市同事更有可能提供 NHV 和 HV。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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