Shvartzman P, Gross R, Tabenkin H, Yuval D, Grinshtein M, Wienka B
Dept. of Family Medicine, Ben-Gurion University of the Negev, Beer Sheba.
Harefuah. 1998 Apr 1;134(7):505-10, 592.
This study compares Israeli primary care physicians with those of European countries. In Israel a larger proportion of those in primary care are women. The Israeli physicians see many patients a day, but almost never make home visits. They also report for work the fewest hours a day, but spend 21 hours a month in continuous medical education. (more than Europeans?) The Israeli primary care physician scores high in screening for breast cancer and blood cholesterol level, but very low in the fields of minor surgery and alcohol and smoking prevention, contraception, nutrition counseling and normal pregnancy follow-up. Residency training and education may be inadequate, and more emphasis has to be put on the health system and recognizing environmental influences.
本研究将以色列的初级保健医生与欧洲国家的初级保健医生进行了比较。在以色列，从事初级保健工作的女性比例更高。以色列医生每天看诊的病人很多，但几乎从不进行家访。他们每天的工作时长也是最少的，但每月要花21小时参加继续医学教育（比欧洲人多吗？）。以色列初级保健医生在乳腺癌筛查和血液胆固醇水平方面得分较高，但在小手术、预防酗酒和吸烟、避孕、营养咨询以及正常孕期随访等领域得分很低。住院医师培训和教育可能不足，必须更加重视卫生系统并认识到环境影响。
