全科医生短缺是否始于培训?

K. Moehlig, A. De Lamper, E. Dierckx, L. Vandeputte, W. Van Peer, B. Van Rompaey, L. Peremans
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引用次数: 0

摘要

家庭医生短缺:是否从大学开始?发展良好的初级保健能带来更好的预防保健、降低成本和改善健康状况。尽管如此,在比利时和国际上,家庭医生的短缺却日益严重。一个很有前景的方法是增加接受高级培训的入门级学生人数,使其成为家庭医生。本研究采用了混合方法设计。定量部分包括对佛兰德大学各年级医学生进行的探索性问卷调查。在定性部分,与硕士生进行的焦点小组讨论深入探讨了不同的影响因素。最后阶段对结果进行了汇总。在统计分析中,共纳入了 423 份填写完毕的调查问卷。经过多变量分析,对与病人建立长期关系的兴趣、进行心理访谈、致力于预防、较短的培训时间、灵活的工作时间、较高的学习年限以及选择全科医学的恒定性解释了 68.7% 选择全科医学的原因。焦点小组访谈中的学生(n = 26)也提到了类似的因素。只有 1/5 的医科学生完全排除了家庭医学。为提高对全科医学的兴趣,弗拉芒各大学提出了以下建议:让更多的全科医生参与基础培训,组织全科医学的强制实习,并提供有关高级培训的充分信息。
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Begint het huisartsentekort bij de opleiding?
The family physician shortage: does it start at the university? Well-developed primary care results in a better preventive healthcare, cost-reduction and better health outcomes. Despite this importance, there is a growing shortage of family physicians in Belgium and internationally. A promising approach is to increase the number of entry-level students in advanced training to become family physicians. This study used a mixed-methods design. The quantitative component included an exploratory questionnaire administered to medical students from all years at Flemish universities. In the qualitative part, focus group discussions with master students went deeper into the different influencing factors. The results were compiled in the final phase. For statistical analysis, 423 completed questionnaires were included. Interest in long-term relationships with patients, conducting psychological interviews, commitment to prevention, a shorter training time, flexible working hours, a higher year of study and constancy in the choice of family medicine explain 68.7% of the choice of family medicine after multivariate analysis. Students from the focus group interviews (n = 26) cite similar elements. Only 1/5 of medical students completely rule out family medicine. The following recommendations are formulated for Flemish universities to increase the interest in family medicine: involve more family physicians in basic training, organise compulsory internships in general medicine and provide sufficient information regarding advanced training.
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